Associate Analyst jobs at Highmark

This job supports one or more analytical aspects of the product management lifecycle, within a sub-product scope (one or more business application components). Uses regular judgement and discretion to collaborate with customers and business stakeholders in order to: Understand customer and stakeholder needs, business capability needs; Identity opportunities and create business cases and cost sheet analysis to support the product strategy and evolve the product roadmap; Translate high-level business needs into detailed business requirements for new / modified business capabilities; Perform research, analyze data to determine business problems and trends, assess business processes and business rules to identify/recommend opportunities for process improvements and / or recommendation new / modified business capabilities; Work with business stakeholders and delivery partners to prioritize business capabilities in the product backlog; Provide root cause analysis and corrective action plans; Proactively work with delivery partners to verify and govern delivery of customer needs, and ensure on-time, quality delivery. The incumbent identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements and drive business platform recommendations. 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 assigned business platform and business integrations points to analyze and manage delivery across the product management lifecycle. **ESSENTIAL RESPONSIBILITIES** + Work with Customers, Business Stakeholder, Vendors, Designers, IT Delivery Partners, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, business requirements, customer personas, stakeholder and / or journey maps, product capability roadmaps, product KPIs/metrics, and implementation / delivery plans. + Participate in the full product management delivery life cycle by actively participating with business and IT delivery teams using modern product management delivery practices and methodologies, such as Agile / Scrum, Kanban, etc. to manage product requirements, delivery plans, business product backlog & prioritization, testing, prototyping, and defining customer/user acceptance criteria. + Support various aspects of business analysis, business requirements definition and documentation, business user testing, business requirement traceability, and full product capability delivery (e.g., user acceptance testing plans, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. + Effectively communicate with team members, customers, partners, and management, including assisting with or conducting business and product requirement walkthroughs and sprint reviews, reporting project / delivery status, supporting and governing delivery of in-house and vendor solutions and providing accurate and concise documentation. + Participate in sprint plans and reviews to ensure product capability development aligns with customer needs and defined business objectives. + Ensure compliance for required standards and all necessary approvals have been obtained throughout the product management and delivery project lifecycle. + Other duties as assigned or requested. **EDUCATION** **Required** + Bachelor's degree in Business Administration, Business Management, Information Technology, Information Systems or related field **Substitutions** + 6 years of related and progressive experience in lieu of Bachelor's degree **Preferred** + None **EXPERIENCE** **Required** + 3 years in a Business Analysis and/or Analyst role **Preferred** + 1 year with Lean/Six Sigma and/or Process Improvement + 1 year in the Health Insurance Industry + 1 year in the Healthcare Industry + Healthcare Interoperability Experience + SQL experience and skillset **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Lean/Six Sigma + Project Management Professional (PMP) + Business Analysis Professional (IIBA) + Human Centered Design (HCD) / Design Thinking **SKILLS** + Analytical Skills + Problem-Solving + Communication Skills + Report Writing + Agile Methodology + Agile Project Management + Product Management + Critical Thinking + Analysis + Elicitation / Documentation skills **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally 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 job 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: J272800

This job is responsible for problem ticket resolution. Requires a beginning knowledge base across the functional areas and specific expertise on multiple applications/platforms. Expeditiously and accurately performs deep dive issue analysis and problem ticket review, assessing information/details for updates to determine potential end impacts, and corrections, as needed. May transfer the ticket to the appropriate area if further action is needed for resolution (i.e., coding changes). **ESSENTIAL RESPONSIBILITIES** + Solve system problems with available technology including hardware, software, databases, and peripherals.Create and run queries using SQL and utilize apps to review files. + Review various reports (for example, fallout reports) to identify and correct system issues pro-activley/pre-emptively.If issues are identified, will work to correct to ensure there are no negative down stream impacts. + Research and analyze system needs, system development, system process analysis, design, and re-engineering. Recommend changes (in processes, design, etc.) when warranted. + If problem resolution impacts external vendors, act as key contact with vendors to resolve issues as needed. + May participate in cross-functional process improvement efforts to address trends identified in ticket resolution. This may include gathering requirements, creating business cases, and creating/executing test cases. + Other duties as assigned or requested. **EDUCATION** **Required** + Bachelor's Degree in Business Administration/Management, Information Technology or Information Systems **Substitutions** + 6 years of relevant, progressive experience in lieu of degree **Preferred** + None **EXPERIENCE** **Required** + 0 - 3 years in IS/IT **Preferred** + 0 - 1 year in the Healthcare or Health Insurance Industry **LICENSES AND CERTIFICATIONS** **Required** + None **Preferred** + Information Technology Infrastructure Library (ITIL) **SKILLS** + Communication Skills + Analytical Skills + Research Skills + Data Analysis + Customer Service + Collaborative problem solving **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Never Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally 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 job 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:** $26.49 **Pay Range Maximum:** $41.03 _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: J273716

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

**Become a part of our caring community and help us put health first** The BI Analyst / Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers BI Analyst / Business Intelligence Engineer 2 + Developing and optimizing data models, ETL processes, and dashboards to track key performance indicators. + Supporting the team's ability to analyze customer, provider, and operational data, ensuring actionable insights for leadership. + Automating and improving reporting processes, reducing manual effort and increasing accuracy and predictability. + Collaborating with cross-functional teams (Product, Finance, Operations) to ensure data consistency, governance, and alignment with enterprise standards. **Use your skills to make an impact** **Required Qualifications** + 5 or more years of technical experience in Healthcare data analysis + 2 or more years of experience in SQL, SAS or other data systems + Comprehensive experience Microsoft Word, Excel (pivot tables, formulas, data manipulation), PowerPoint, Visio and Access (data analysis, experience with relational databases) + Expertise in assessing complex data sets and performing root cause analysis **Preferred Qualifications** + Bachelor's degree or higher + Experience with data mining and predictive modeling techniques + Ability to use data to drive business outcomes and decisions + Experience in Medicare/Medicaid, CMS (Centers for Medicare & Medicaid Services) or other Federally regulated healthcare programs + Experience with Humana systems, specifically Service Fund + Experience with tools such as Power BI for creating data visualizations + Experience with Azure Synapse Analytics + Understanding of organizational operations and the ability to communicate findings effectively to both technical and non-technical stakeholders. **WORK STYLE:** Remote/work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week. All associates must start their workday between 6AM-9AM EST **Additional Information** As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $66,800 - $91,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-09-2026 **About us** About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

**Become a part of our caring community and help us put health first** The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Medical/Financial Risk Evaluation Professional identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external events. Maintains a balance between risk mitigation and efficiency. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. + Perform routine quality audits on PPI data mining partner concepts to determine payment accuracy, giving immediate feedback to assigned partner(s) as needed + Act as a liaison between internal areas and our PPI business partners + Lead business partner conference calls and meetings + Provide training when needed for PPI data mining business partners + Report/resolve security and system issues for external vendors + Monitor partner quality and provide ad hoc reports as needed + Identify data trends, develop solutions to improve processes, and assist with presenting and implementing recommendations and solutions + Lead or participate in cross-functional projects **Use your skills to make an impact** **Required Qualifications** + Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims knowledge + Prior vendor relationship experience/knowledge + Intermediate knowledge with Microsoft Excel and Power Point + Ability to confidently communicate verbally and via email with external vendor partners + Demonstrated strong emotional intelligence + Strong relationship building skills + Ability to self-start and prioritize on assignments given / research oriented + Experience with cross-functional project management, including summarization of project status, and presentation to leadership + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Bachelors Degree + Knowledge of or the ability to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal PPI peer teams (Code Edit, Prepay, CCRO, Missed Opportunities, etc.) + Experience with provider contracts, understanding intent and possible load issues for claims payment impact **Additional Information** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-21-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Candidates must be able to work Pacific Time Zone hours of 8am to 5pm. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management Develop reports and deliverables for management Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis Assist with training and mentoring other Data Analysts Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Strong SQL, SSIS, Snowflake and Power BI experience highly preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management Develop reports and deliverables for management Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis Assist with training and mentoring other Data Analysts Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Power BI and Snowflake experience preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data Support execution of large-scale projects with limited direction from leadership Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines Support the design, testing, and implementation of process enhancements and identify opportunities for automation Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Independently engage with customers and business partners to gather requirements and validate results Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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

* CANDIDATE MUST BE US Citizen (due to contractual/access requirements)* This job turns data into information, information into insight, and insight into action. The incumbent leads teams and collaborates with business stakeholders to evaluate their need for information, identify potential solutions, gather and analyze data, and present conclusions in a concise and understandable format. The incumbent is expected to become intimately familiar with "the story of the business" as viewed through the lens of data, to champion the adoption of analytics as a tool for organizational change, and to serve as trusted advisors for all levels of management. ESSENTIAL RESPONSIBILITIES * Evaluate a need for information: Coordinate with a broad spectrum of internal customer areas to identify complex business problems. Define the required outcomes and determine the ideal path toward achieving these outcomes. * Lead teams to identify potential solutions: Evaluate new requirements against the tools, methods, and information currently available to solve the problem. Develop new tools and methods if necessary. Understand the interaction between new and existing solutions across the business. * Gather and analyze data: Extract and transform data from all necessary sources. Foster relationships with data owners and become an expert on the information available in various data repositories. Be prepared to test established hypotheses, independently discover hidden patterns, and everything in between. * Present conclusions to senior leadership in a concise and understandable format: Understand how to effectively communicate with customers in every possible medium, be it in-person conversations, phone calls, email, instant messages, presentations, or interactive dashboards. Use information design best practices to design content that is immediately understandable by the intended audience. * Provide direction, guidance, and training to teammates with less experience. Serve as a project manager, assigning highly complex work and monitoring the accuracy and progress of the assigned work. * Other duties as assigned. EDUCATION Required * Bachelor's Degree in Statistics, Computer and Information Science, Mathematics or Information Technology Substitutions * None Preferred * None EXPERIENCE Required * 7 - 10 years in Data Analytics OR * 7 - 10 years in Business Intelligence Preferred * Power BI * Power Query LICENSES OR CERTIFICATIONS Required * None Preferred * None SKILLS * Microsoft Office * Communication Skills * Analytical Skills * Data Analysis * Statistical Analysis Language None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Does Not Apply Lifting: 10 to 25 pounds Does Not Apply Lifting: 25 to 50 pounds Does Not Apply 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 job 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: $67,500.00 Pay Range Maximum: $126,000.00 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

Company :en Gen : This job is responsible for problem ticket resolution. Requires a beginning knowledge base across the functional areas and specific expertise on multiple applications/platforms. Expeditiously and accurately performs deep dive issue analysis and problem ticket review, assessing information/details for updates to determine potential end impacts, and corrections, as needed. May transfer the ticket to the appropriate area if further action is needed for resolution (i.e., coding changes). ESSENTIAL RESPONSIBILITIES Solve system problems with available technology including hardware, software, databases, and peripherals. Create and run queries using SQL and utilize apps to review files. Review various reports (for example, fallout reports) to identify and correct system issues pro-activley/pre-emptively. If issues are identified, will work to correct to ensure there are no negative down stream impacts. Research and analyze system needs, system development, system process analysis, design, and re-engineering. Recommend changes (in processes, design, etc.) when warranted. If problem resolution impacts external vendors, act as key contact with vendors to resolve issues as needed. May participate in cross-functional process improvement efforts to address trends identified in ticket resolution. This may include gathering requirements, creating business cases, and creating/executing test cases. Other duties as assigned or requested. EDUCATION Required Bachelor's Degree in Business Administration/Management, Information Technology or Information Systems Substitutions 6 years of relevant, progressive experience in lieu of degree Preferred None EXPERIENCE Required 0 - 3 years in IS/IT Preferred 0 - 1 year in the Healthcare or Health Insurance Industry LICENSES AND CERTIFICATIONS Required None Preferred Information Technology Infrastructure Library (ITIL) SKILLS Communication Skills Analytical Skills Research Skills Data Analysis Customer Service Collaborative problem solving Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Never Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally 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 job 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: $26.49 Pay Range Maximum: $41.03 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

Company :en Gen : ***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)*** This job turns data into information, information into insight, and insight into action. The incumbent leads teams and collaborates with business stakeholders to evaluate their need for information, identify potential solutions, gather and analyze data, and present conclusions in a concise and understandable format. The incumbent is expected to become intimately familiar with “the story of the business” as viewed through the lens of data, to champion the adoption of analytics as a tool for organizational change, and to serve as trusted advisors for all levels of management. ESSENTIAL RESPONSIBILITIES Evaluate a need for information: Coordinate with a broad spectrum of internal customer areas to identify complex business problems. Define the required outcomes and determine the ideal path toward achieving these outcomes. Lead teams to identify potential solutions: Evaluate new requirements against the tools, methods, and information currently available to solve the problem. Develop new tools and methods if necessary. Understand the interaction between new and existing solutions across the business. Gather and analyze data: Extract and transform data from all necessary sources. Foster relationships with data owners and become an expert on the information available in various data repositories. Be prepared to test established hypotheses, independently discover hidden patterns, and everything in between. Present conclusions to senior leadership in a concise and understandable format: Understand how to effectively communicate with customers in every possible medium, be it in-person conversations, phone calls, email, instant messages, presentations, or interactive dashboards. Use information design best practices to design content that is immediately understandable by the intended audience. Provide direction, guidance, and training to teammates with less experience. Serve as a project manager, assigning highly complex work and monitoring the accuracy and progress of the assigned work. Other duties as assigned. EDUCATION Required Bachelor's Degree in Statistics, Computer and Information Science, Mathematics or Information Technology Substitutions None Preferred None EXPERIENCE Required 7 - 10 years in Data Analytics OR 7 - 10 years in Business Intelligence Preferred Power BI Power Query LICENSES OR CERTIFICATIONS Required None Preferred None SKILLS Microsoft Office Communication Skills Analytical Skills Data Analysis Statistical Analysis Language None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Does Not Apply Lifting: 10 to 25 pounds Does Not Apply Lifting: 25 to 50 pounds Does Not Apply 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 job 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: $67,500.00 Pay Range Maximum: $126,000.00 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

*****CANDIDATE MUST BE US Citizen (due to contractual/access requirements)***** This job turns data into information, information into insight, and insight into action. The incumbent leads teams and collaborates with business stakeholders to evaluate their need for information, identify potential solutions, gather and analyze data, and present conclusions in a concise and understandable format. The incumbent is expected to become intimately familiar with "the story of the business" as viewed through the lens of data, to champion the adoption of analytics as a tool for organizational change, and to serve as trusted advisors for all levels of management. **ESSENTIAL RESPONSIBILITIES** + Evaluate a need for information: Coordinate with a broad spectrum of internal customer areas to identify complex business problems.Define the required outcomes and determine the ideal path toward achieving these outcomes. + Lead teams to identify potential solutions: Evaluate new requirements against the tools, methods, and information currently available to solve the problem.Develop new tools and methods if necessary.Understand the interaction between new and existing solutions across the business. + Gather and analyze data: Extract and transform data from all necessary sources.Foster relationships with data owners and become an expert on the information available in various data repositories.Be prepared to test established hypotheses, independently discover hidden patterns, and everything in between. + Present conclusions to senior leadership in a concise and understandable format: Understand how to effectively communicate with customers in every possible medium, be it in-person conversations, phone calls, email, instant messages, presentations, or interactive dashboards.Use information design best practices to design content that is immediately understandable by the intended audience. + Provide direction, guidance, and training to teammates with less experience.Serve as a project manager, assigning highly complex work and monitoring the accuracy and progress of the assigned work. + Other duties as assigned. **EDUCATION** **Required** + Bachelor's Degree in Statistics, Computer and Information Science, Mathematics or Information Technology **Substitutions** + None **Preferred** + None **EXPERIENCE** **Required** + 7 - 10 years in Data Analytics **OR** + 7 - 10 years in Business Intelligence **Preferred** + Power BI + Power Query **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Microsoft Office + Communication Skills + Analytical Skills + Data Analysis + Statistical Analysis **Language** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-Based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Does Not Apply Lifting: 10 to 25 pounds Does Not Apply Lifting: 25 to 50 pounds Does Not Apply **_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 job 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:** $67,500.00 **Pay Range Maximum:** $126,000.00 _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: J273538

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Job Description: Support the Value-Added Services team as a versatile program and analytics resource. This role will help manage and shepherd processes across stakeholder teams-including marketing, product, finance, and data enablement-ensuring smooth execution and alignment. Responsibilities include coordinating deliverables, maintaining timelines, and providing analytical support for program performance and partner initiatives. Comfort with Excel and PowerPoint is essential for reporting and presentations. The ideal candidate is detail-oriented, collaborative, and interested in partnerships and consumer engagement strategies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 2+ years in program management, business operations, or analytics * Proficiency in Excel (pivot tables, basic modeling) and PowerPoint for executive reporting * Proven solid organizational skills and ability to manage cross-functional processes * Proven excellent communication and stakeholder management skills * Demonstrated ability to work independently and prioritize multiple projects Preferred Qualifications: * Experience in healthcare, loyalty programs, or partnership-driven initiatives * Familiarity with basic data visualization tools (Power BI/Tableau) * Exposure to financial modeling or ROI analysis * Proven interest in consumer engagement and partner marketing strategies * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** **Job Description:** Support the Value-Added Services team as a versatile program and analytics resource. This role will help manage and shepherd processes across stakeholder teams-including marketing, product, finance, and data enablement-ensuring smooth execution and alignment. Responsibilities include coordinating deliverables, maintaining timelines, and providing analytical support for program performance and partner initiatives. Comfort with Excel and PowerPoint is essential for reporting and presentations. The ideal candidate is detail-oriented, collaborative, and interested in partnerships and consumer engagement strategies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 2+ years in program management, business operations, or analytics + Proficiency in Excel (pivot tables, basic modeling) and PowerPoint for executive reporting + Proven solid organizational skills and ability to manage cross-functional processes + Proven excellent communication and stakeholder management skills + Demonstrated ability to work independently and prioritize multiple projects **Preferred Qualifications:** + Experience in healthcare, loyalty programs, or partnership-driven initiatives + Familiarity with basic data visualization tools (Power BI/Tableau) + Exposure to financial modeling or ROI analysis + Proven interest in consumer engagement and partner marketing strategies *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** We invite you to bring your performance, ideas and innovations to an elite team within a culture built for collaboration. At UnitedHealth Group, we seek individuals who have the ability to drive change, take appropriate risks and influence individuals at all levels of the organization. The Healthcare Economics Consultant within UHC Medicare & Retirement will perform critical investigation of key business problems through quantitative analysis of Medicare Advantage utilization and cost data. The Healthcare Economics Consultant will proactively identify, communicate, and lead organizational dialogue related to healthcare cost/trend opportunities and risks throughout the organization. As a subject matter expert, the Senior Healthcare Economics Consultant will interpret and analyze data from various sources and recommend best approaches to transform the healthcare industry. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Assist in developing, completing, and communicating the results of studies evaluating the performance of utilization management programs + Use SAS/SQL to construct claims-based datasets + Construct polished MS Excel models to satisfy analytical requests + Understand and interpret key drivers of health care trends (i.e. medical cost trends, utilization, etc.), utilization management program performance, and potential opportunities for medical cost reduction or program improvement + Collaborate and develop relationships within the organization including clinical, finance, product, actuarial/underwriting, and operations + Provide ongoing, meaningful communications to requestors on project status, results, and conclusions from analyses You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in statistics, actuarial science, health services research, economics, or a related degree + 2+ years analytical experience in financial analysis, data science, actuarial, utilization management program evaluation, or related discipline utilizing highly complex data + Proficiency in SQL or/and SAS + Proficiency working with formulas, pivots, calculations, charts, graphs in MS Excel **Preferred Qualifications:** + Advanced degree, such as an MPH or MS + Experience with Medicare Advantage + Experience working with medical claims data. + Experience presenting analytical summaries to key stakeholders + Proven self-driven, proactivity, and curiosity. + Proven advanced interpersonal skills and ability to interact collaboratively with internal customers across multiple departments and business segments + Proven advanced verbal and written communication skills + Proven solid problem solving and analytical skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy **California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C., Maryland Residents Only:** The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Indiana Medicaid and Managed Care Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Candidates residing in the state of Indiana highly preferred. Position Purpose Compile and analyze financial information for the company. Develop integrated revenue/expense analyses, projections, reports, and presentations Create and analyze monthly, quarterly, and annual reports and ensures financial information has been recorded accurately Identify trends and developments in competitive environments and presents findings to senior management Perform financial forecasting and reconciliation of internal accounts Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree or equivalent experience. 2+ years of financial or data analysis experience. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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

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