Business Systems Senior Analyst jobs at Highmark

Company :en Gen : ***CANDIDATE MUST BE US Citizen, Onshore (due to contractual/access requirements)*** Pittsburgh Location Requirement If the candidate is within 50 miles of either the Pgh or Camp Hill campuses then they are expected to be in the office on Tue/Wed/Thu - otherwise they will be fully remote. This job supports one or more analytical aspects of the application product life cycle, including capability enablement with cross-team dependencies within a product scope. Uses significant judgement and discretion to collaborate with customers on complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test cases, provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure quality delivery. Also responsible for identification, documentation, and resolution of risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Uses functional and organizational knowledge to mentor Associate and Intermediate Business Systems Analysts. Leads project teams or actively participate as subject matter expert (SME) on moderately complex projects (which are cross functional, with potential regulatory risk exposure, customer service & financial impacts ). Acts as face to the customer. Resolves very complex issues (may involve multiple systems) while understanding potential regulatory risk exposure and customer service & financial impacts. Acts as a SME on how moderately complex new enhancements/applications are developed using advanced level of understanding of end-to-end process and clear understanding of potential integration issues. Requires advanced level of understanding the end systems impact of changes across multiple/diverse systems (including regulatory risk exposure, customer service & financial impacts). ESSENTIAL RESPONSIBILITIES Take a lead role with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions on complex issues. Create and maintain deliverables such as business vision, requirements, testing plan, testing schedule, testing scenarios, testing outcomes, user task analysis, wire framing, usability testing, personalization to different clients, and user interface design. Participate in the full software development life cycle by actively taking a lead role on agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need. Provide required business and/or subject matter expertise for both project and production related activities on complex issues, including new strategic programs or initiatives impacting current and existing systems. Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle. Interface with the business areas, customers, partners, vendors, technical staff and project teams to drive value, return on investments and innovative solutions. This includes providing alternative solutions, including vendor solution acquisitions, with maximum benefits while reducing cost (e.g. cost benefit analysis, pros/cons of solutions). Take lead role in supporting various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. Communicate in an exemplary manner with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation. Provide thought leadership and strategic direction in Product and Technology Solutions. Other duties as assigned. EDUCATION Required Bachelor's Degree in Business Management, Information Technology, Information Systems, or related field Substitutions None Preferred None EXPERIENCE Required 5 - 7 years in IS/IT Preferred Informatica IDQ/CDQ Data Profiling Informatica MDM match rule development Interactions with Data Owners/Data Stewards about data quality Informatica Customer 360 LICENSES AND CERTIFICATIONS Required None Preferred Information Technology Infrastructure Library (ITIL) The Open Framework Group (TOGAF) Six Sigma Project Management Professional (PMP) SKILLS Analytical Skills Problem-Solving Communication Skills Report Writing SQL Project Management Customer Service Leadership Agile Methodolgy Agile Project Management Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Rarely Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $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

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

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. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation Identify ways to enhance performance management and operational reports related to new business implementation processes Develop and incorporate organizational best practices into business applications Lead problem solving and coordination efforts between various business units Assist with formulating and updating departmental policies and procedures Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing 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: $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

**MUST BE A US CITIZEN ** This role will serve as a link between underwriting operations, financial strategy, and process optimization. The incumbent will apply strong analytical and financial acumen to understand, document, and improve processes within the underwriting lifecycle, ensuring efficiency, compliance, and alignment with financial objectives. While primarily focused on process improvement, this role will also support critical underwriting functions, leveraging data to drive strategic decisions and operational excellence. **ESSENTIAL RESPONSIBILITIES** + Create comprehensive process maps and documentation for underwriting procedures, identifying current state operations, future state recommendations, and potential financial impacts. + Develop desktop procedures and training materials specific to underwriting functions, ensuring clarity for audit and compliance. + Collaborate closely with underwriters to analyze existing processes and tools, identifying opportunities for financial efficiency, risk mitigation, and improved quote/renewal turnaround times. + Conduct analyses to quantify the financial impact of proposed process changes or tool enhancements, ensuring data-driven recommendations. + Actively participate in and support project meetings related to underwriting system enhancements, financial modeling tool development, and overall operational efficiency initiatives, ensuring the underwriting perspective is well-represented. + Support underwriting workloads by calculate rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the standard formula. **EDUCATION** **Required** + High School Diploma/GED **Substitutions** + None **Preferred** + Bachelor's Degree in finance, Accounting, Economics, Business Administration, or a related field. **EXPERIENCE** **Required** + **MUST BE A US CITIZEN ** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, customer service, etc.) **Preferred** + Experience in a financial analysis, underwriting support, or actuarial support role is highly desired. Strong understanding of financial concepts, risk assessment, and insurance product lifecycles. **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process Improvement + Business Process Mapping + Business Requirements + Collaborative Problem Solving + Project Management **Languages (other than English)** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote 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 Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Never Lifting: 25 to 50 pounds Never **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $50,200.00 **Pay Range Maximum:** $91,200.00 _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: J273104

This job provides assistance for basic to moderately complex problem solving and understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May assist with troubleshooting errors, conducting impact analyses, and/or solving data rejection. May perform simple business analyses in one or more operational areas. May identify process gaps and recommend process improvements for efficiencies. **ESSENTIAL RESPONSIBILITIES** + Assist with the intake of operational objectives and information gathering. May perform routine research and evaluate basic output requirements and formats. Communicate business operational requirements to internal groups responsible for developing/testing business requirements in various applications. + Support the coordination, monitoring, and reporting on the progress of projects to ensure adherence to defined project schedule. Communicate effectively with colleagues. Successfully articulate issues, problems, and solutions. Participate in pre-and post-implementation review. Assist in the planning, designing, and facilitation of functional walk-throughs. May require additional support from more experienced team members. + Assist with small to intermediate cross-functional projects and change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control measures, including scoping, leading, and influencing organizational change related to business processes and models. + Participate in process improvement meetings and/or discussions. + Support analysis of the functions and operations of a business area/function and identify problem areas. Assist in the creation of process mapping and document current and future state business processes. + Recommend process efficiencies, strategies for improvement, and/or solutions to align technology with business strategies. + Assist in development of desktop procedures and/or training materials. + Other duties as assigned. **EDUCATION** **Required** + High School Diploma/GED **Substitutions** + None **Preferred** + Bachelor's Degree **EXPERIENCE** **Required** + 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, customer service, etc.) **Preferred** + 0 - 1 year in the Health Insurance Industry **LICENSES AND CERTIFICATION** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process Improvement + Business Process Mapping + Business Requirements + Collaborative Problem Solving + Project Management **Languages (other than English)** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL 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 Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Never Lifting: 25 to 50 pounds Never **_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:** $22.71 **Pay Range Maximum:** $35.18 _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: J271514

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Payment Integrity Coding Consultant position is responsible for determining medical appropriateness of inpatient and outpatient services following evaluation of medical documentation, and published CMS, Coding and other industry criteria. Conducts audits of medical coding to increase coding accuracy and identify potential FWAE. Completes comprehensive examinations of medical records and supporting documents. Provides support related to coding and billing issues to maintain compliance with policies, procedures, laws, and government regulations. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Takes ownership of the total work process and provides constructive information to minimize problems and increase customer satisfaction * FWAE detection and identification of aberrant behavior for providers and facilities * Investigate, review and provide clinical and/or coding expertise in review of post-service, pre-payment or post-payment claims, which requires interpretation of state and federal mandates, billing practices/patterns, applicable benefit language, medical and reimbursement policies and coding requirements. Consideration of relevant clinical information on claims with overt billing patterns * Make pay/deny recommendation decisions based on findings; this could include Medical Director/physician consultations and working independently while making decisions * Identify updated clinical analytics opportunities and participate in projects as necessary * Maintain and manage case review assignments * Ensure issues are identified, tracked, reported and resolved * Escalate issues as needed for support and/or guidance * Keep abreast of current Medicare guidelines and regulations by reviewing updates, bulletins and changes to CMS manuals * Performs all other related duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Associate's Degree in Healthcare Administration, Business or a related field OR High School Diploma/GED with 2+ years of relevant experience above required years of experience may be considered in lieu of Associate's Degree * Coding certification through AAPC or AHIMA * 3+ years of experience in medical claims professional procedure coding and processing * 3+ years of experience reading, interpreting and applying Medicare and CMS Claims and Policies (NCD/LCD/NCCI) Preferred Qualifications: * 3+ years in a Medical Insurance environment * Experience working in Payment Integrity, Fraud Waste and Abuse or Special Investigations * Experience in communicating complicated concepts and information to a wide range of audiences * Experience working with process improvement teams and streamlining processes as required and improving departmental efficiencies * Experience with Encoder Pro * Experience with IKA platform * Live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service * Proven solid analytical and research skills * Proven excellent written and verbal communication skills Physical & Mental Requirements: * Ability to sit for extended periods of time * Ability to receive and comprehend instructions verbally and/or in writing * Ability to use logical reasoning for simple and complex problem solving * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

The Senior Epic Systems Analyst (Beaker) has significant laboratory expertise and a fundamental understanding of key integration points in Epic. This role is responsible for configuring, rolling out, and supporting the assigned Beaker Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions, consistently demonstrating and promoting the AHN Core Behaviors. **ESSENTIAL RESPONSIBILITIES** + **Epic Beaker System Management:** Plans, designs/builds, tests, implements, and supports the needs of Beaker Epic software. Analyzes and determines system requirements and specifications, performing and documenting workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. + **Configuration & Optimization:** Using in-depth knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet end-user needs, and implements new technologies. + **Problem Resolution & Support:** Consistently facilitates issue resolution (both project and support) and collaborates with other IT teams, driving to completion with little or no assistance or direction from direct supervisor. Provides guidance and support to end-users to enhance the use of Epic and offers solutions to resolve end-user system issues. Conducts problem-solving and root cause analysis to resolve routine to moderately complex problems, identifies solutions, and completes documentation. + **Project Contribution & Management:** Consistently contributes to and manages medium to large portions of projects within the assigned area. Contributes to and manages small to medium projects independently. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues. + **Process Improvement & Innovation:** Independently initiates process improvement with some direction from management. Recognizes the potential of the application to change and improve workflows while maintaining or improving current practice standards. With some direction from management, makes decisions that refine and improve known practices or develops new approaches (researching and assessing new technology or functionality). + **Collaboration & Mentorship:** Works with all clinical, business, and technical resources in a positive, supportive, and collaborative manner. Reviews and recommends enterprise-level solutions while fostering collaboration. Consistently assists with training employees and provides subject-matter direction and guidance to less experienced analysts, assigning, monitoring, and reviewing progress and accuracy of work. + **Technical Analysis & Documentation:** Contributes to in-depth workflow analysis, data collection, report details, or other technical configurations to understand application functionality and what is needed from a customer perspective. Creates and maintains documentation and training materials regarding the implementation of applications. **EXPERIENCE** **Required** + 5 years experience with systems administration experience within one or more Epic environments. **Preferred** + 5-8 years of systems administration experience within one or more Epic modules. + 3 years of experience in the healthcare industry. + . **SKILLS** + Possesses and consistently applies a broad and in-depth knowledge of the concepts, principles, practices, and processes of the specific field or discipline. + Possesses significant expertise to complete complex assignments and ability to visualize, articulate, and solve complex problems. + Ability to handle analysis, design, system configuration, and testing tasks at basic to moderate levels of complexity. + Consistently solves a range of problems by analyzing possible solutions using standard processes. Solves complex problems often taking a new perspective using existing and innovative solutions. + Excellent customer service skills. + Uses critical thinking skills for assigned tasks. + Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork. + Strong organizational skills in managing priorities. + Demonstrates knowledge of project management principles as they relate to assigned tasks. **EDUCATION** **Required** + Associates **Substitutions** + 2 years of relevant work experience in lieu of an Associate's Degree **Preferred** + Bachelor's degree in Computer Science, Information Systems, Healthcare or relevant experience **LICENSES or CERTIFICATIONS** **Required** + Epic Application Certification within 6 months. **Preferred** + Epic Beaker Certification/Accreditation. **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote-based Teaches / trains others Occasionally Travel 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:** $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: J271590

This job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve **This role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance space. This is a remote based role.** **ESSENTIAL RESPONSIBILITIES** + Perform basic analysis using knowledge of moderate-to-complex business rules by interpreting and analyzing data from various sources and formats and utilize the data for configuration activities. + Translate moderate-to-complex business needs and business rules to define and execute operations activities for high quality solutions to meet customer and plan partner needs. + Document and execute medium-to-complex product and benefit configuration rules. + Assist in and is accountable for identification, documentation, and escalation of risks, data errors and issues throughout the configuration process. + Assist in development of testing plan, scenarios, and documentation to ensure high quality of product. + Perform both end-to-end and user acceptance testing to ensure high quality of product. + Other duties as assigned or requested. **EDUCATION** **Required** + High School Diploma/GED **Substitutions** + None **Preferred** + Associate's Degree in Healthcare Administration, Business, Information Science or other related field **EXPERIENCE** **Required** + 3 - 5 years of experience in health care industry or other related field + 3 - 5 years of experience in business analysis, system analysis, or other related function working with logical data structures **Preferred** + 3 - 5 years of experience in health insurance operations, benefits operations, or other related field related is preferred + 3 - 5 years of experience with client, product, and/or benefits configuration techniques **LICENSES AND CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent detail-oriented skills + Good customer service skills with moderate experience working with customers, sales, and/or clients + High proficient oral and written communication skills + Ability to understand and resolve moderate to complex data relationships, data conflicts, and data discrepancies + Ability to apply logical thinking and critical thinking skills to resolve moderate to complex problems and designs + Proficient in understanding, analyzing, and applying moderate to complex business rules and configuration concepts **LANGUAGE REQUIREMENT (Other than English)?** None **TRAVEL REQUIREMENT** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-Based Teaches/Trains others regularly Rarely Travels 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) Does Not Apply Physical Work Site Required No 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 position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. **Pay Range Minimum:** $24.53 **Pay Range Maximum:** $38.00 _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: J273753

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: In charge of the prioritization of projects, auditing project alignment with overall technical or business strategy, guiding resource allocation, and supporting the development of project or program execution plans. Manages Agile / Lean portfolios and supports overall strategy, investment funding, Agile portfolio operations, and Lean governance. Applies the concept of lean thinking to program and product and coaches stakeholders on these concepts to achieve objectives. Facilitates the portfolio management processes to ensure strategic alignment on technologies and goals Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project or product release success. Creates visibility into areas struggling with scope, schedule, resources, or budget Contributes to the development, management and optimization of portfolio, program, and project management methodologies and disciplines Facilitates resource and budget planning with the IT teams on new demands and contributes to the sequencing of projects into the portfolio Identifies dependencies and critical paths, and aids stakeholders in managing them Improves and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and tool teams Identifies and resolves problems often anticipating issues before they occur or before they escalate; develop and evaluate options and implements solutions Analyzes project risk profile and balance at the portfolio level Contributes to capacity planning for initial and ongoing identification of resource needs and scheduling that will be used for making critical portfolio decisions Develop and maintain processes to facilitate integrated project scoping between various workgroups and identifies operational impacts and dependencies Maintain departmental work process for IT controls Analyze demand data to identify and report on trends Identify key leading and lagging risk factors Ensure compliance to all policies and procedures Drive portfolio planning and operations for assigned portfolio Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or ore of the following skills are desired. Experience with Other: ServiceNow, Flexera, and/or BDNA Experience with Data Analysis Knowledge of Other: IT hardware/software assets as well as knowledge of applications and application platforms Knowledge of JIRA Soft Skills: Seeks to acquire knowledge in area of specialty Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Ability to work independently Demonstrated analytical skills Demonstrated project management skills Demonstrates a high level of accuracy, even under pressure Demonstrates excellent judgment and decision making skills Ability to communicate and make recommendations to upper management Ability to drive multiple projects to successful completion License/Certification: Certified Project Management Professional (PMP)-PMI required Certified Workforce Planning Professional preferred Certified in Governance of Enterprise IT (CGEIT) preferred Pay Range: $119,100.00 - $220,500.00 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

This job is responsible for the configuration, rollout, and ongoing support of the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, systems design, and problem resolution. The Senior Epic analyst communicates with end-users of the system to understand and resolve complex issues and implement solutions. Senior Analysts are subject matter experts in their area of knowledge. **ESSENTIAL RESPONSIBILITIES** + Plans, designs/builds, tests, implements and maintains Epic software. + Develops and documents workflow analysis while evaluating user experience. Supports and maintains environment or applications using advanced knowledge of the application(s) and technologies in the environment while recommending enterprise-level solutions. + Using advanced knowledge of Epic, configures changes within the system to provide standardized, comprehensive workflows. Makes decisions that refine and improve current practices; develops new approaches and recommends solutions by researching best practices and assessing new technologies or functionality. + Contributes to/manages medium to large moderately complex projects that are broad in scope and require depth of knowledge. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues. + Conducts problem-solving and root cause analysis to complete assignments and visualize, articulate, and solve moderately complex problems. Participates in and may lead continuous improvement initiatives. + Guides and assists with training less experienced Analysts. May serve as a subject-matter expert in the assigned module(s). **EXPERIENCE** **Required** + 5 years experience with systems administration experience within one or more Epic environments. **Preferred** + 5 years of experience in the healthcare industry. **SKILLS** + Ability to handle analysis, design, system configuration and testing tasks with varying levels of complexity + Excellent customer service skills + Uses critical thinking skills for assigned tasks + Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork. + Strong organizational skills in managing priorities + Demonstrates knowledge of project management principles as they relate to assigned tasks **EDUCATION** **Required** + Associates **Substitutions** + 2 years of relevant work experience in lieu of an Associate's Degree **Preferred** + Bachelor's degree in Computer Science, Information Systems, Healthcare or relevant experience **LICENSES or CERTIFICATIONS** **Required** + Epic Application Certification within 6 months. **Preferred** + None **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote-based Teaches / trains others Occasionally Travel 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:** $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: J273533

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Integrates, conforms, profiles and maps complex data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. Interprets and analyzes complex data from multiple sources including claims, provider, member, and encounters data. Proactively identifies and assesses the business impact of trends Develops, executes, maintains, and troubleshoots complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers Manages multiple complex and variable tasks and data review processes with no supervision within targeted timelines and succeeds in a demanding, quickly changing environment Delivers business solution architecture and implementation validation Engages in data profiling and source to target mapping. Works on complex data integration from disparate sources. Applies senior level expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners Engages with customers and business partners to gather requirements and validate results Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Big Data; Data Processing Experience with Data Manipulation; Data Mining Experience with one or more of the following Programming Concepts; Programming Tools; Python (Programming Language); SQL (Programming Language) Experience with Agile Software Development Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Pay Range: $73,800.00 - $132,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

This job is responsible for configuring, rolling out, and supporting the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. **ESSENTIAL RESPONSIBILITIES** + Plans, designs/builds, tests, implements, and supports the needs of Epic software. + Analyzes and determines system requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. + Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user's needs, and implements new technologies. Provides guidance and support to end-users to enhance the use of Epic, and offers solutions to resolve end-user system issues. + Contributes to and manages small to medium projects independently. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues. + Conducts problem-solving and root cause analysis to resolve routine to moderately complex problems. Identifies solutions and completes documentation. **EXPERIENCE** **Required** + 3 years of systems administration experience within one or more Epic modules. **Preferred** + 3 years of experience in the healthcare industry **SKILLS** + Ability to handle analysis, design, system configuration and testing tasks at basic to moderate levels of complexity + Excellent customer service skills + Uses critical thinking skills for assigned tasks + Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork. + Strong organizational skills in managing priorities + Demonstrates knowledge of project management principles as they relate to assigned tasks **EDUCATION** **Required** + Associates **Substitutions** + 2 years of relevant work experience in lieu of an Associate's Degree **Preferred** + Bachelor's degree in Computer Science, Information Systems, Healthcare or relevant experience. **LICENSES or CERTIFICATIONS** **Required** + Epic Application Certification within 6 months. **Preferred** + None **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote-based Teaches / trains others Occasionally Travel 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: J273532

This job is responsible for configuring, rolling out, and supporting the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. **ESSENTIAL RESPONSIBILITIES** + Plans, designs/builds, tests, implements, and supports the needs of Epic Payer Platform software. + Analyzes and determines system requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. + Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user's needs, and implements new technologies. Provides guidance and support to end-users to enhance the use of Epic, and offers solutions to resolve end-user system issues. + Contributes to and manages small to medium projects independently. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues. + Conducts problem-solving and root cause analysis to resolve routine to moderately complex problems. Identifies solutions and completes documentation. **EXPERIENCE** **Required** + 3 years of systems administration experience within one or more Epic modules. **Preferred** + 3 years of experience in the healthcare or health insurance industry **SKILLS** + Ability to handle analysis, design, system configuration and testing tasks at basic to moderate levels of complexity + Excellent customer service skills + Uses critical thinking skills for assigned tasks + Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork. + Strong organizational skills in managing priorities + Demonstrates knowledge of project management principles as they relate to assigned tasks **EDUCATION** **Required** + Associates **Substitutions** + 2 years of relevant work experience in lieu of an Associate's Degree **Preferred** + Bachelor's degree in Computer Science, Information Systems, Healthcare or relevant experience. **LICENSES or CERTIFICATIONS** **Required** + Epic Application Certification within 6 months. **Preferred** + None **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote-based Teaches / trains others Occasionally Travel 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: J271134

This job is responsible for configuring, rolling out, and supporting the assigned Epic Orders application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. **ESSENTIAL RESPONSIBILITIES** + Plans, designs/builds, tests, implements, and supports the needs of Epic Orders software. + Analyzes and determines system requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. + Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user's needs, and implements new technologies. Provides guidance and support to end-users to enhance the use of Epic, and offers solutions to resolve end-user system issues. + Contributes to and manages small to medium projects independently. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues. + Conducts problem-solving and root cause analysis to resolve routine to moderately complex problems. Identifies solutions and completes documentation. **EXPERIENCE** **Required** + 3 years of systems administration experience within one or more Epic modules. **Preferred** + Orders Transmittal experience is Highly preferred + 3 years of experience in the healthcare industry **SKILLS** + Ability to handle analysis, design, system configuration and testing tasks at basic to moderate levels of complexity + Excellent customer service skills + Uses critical thinking skills for assigned tasks + Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork. + Strong organizational skills in managing priorities + Demonstrates knowledge of project management principles as they relate to assigned tasks **EDUCATION** **Required** + Associates **Substitutions** + 2 years of relevant work experience in lieu of an Associate's Degree **Preferred** + Candidates should be open to further Epic education with Bugsy or Orders Transmittal + Bachelor's degree in Computer Science, Information Systems, Healthcare or relevant experience. **LICENSES or CERTIFICATIONS** **Required** + Epic Application Certification within 6 months. **Preferred** + Epic orders certification or accreditation **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Teaches / trains others Occasionally Travel 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: J272316

Company :en Gen : The Senior Epic Systems Analyst (Beaker) has significant laboratory expertise and a fundamental understanding of key integration points in Epic. This role is responsible for configuring, rolling out, and supporting the assigned Beaker Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions, consistently demonstrating and promoting the AHN Core Behaviors. ESSENTIAL RESPONSIBILITIES Epic Beaker System Management: Plans, designs/builds, tests, implements, and supports the needs of Beaker Epic software. Analyzes and determines system requirements and specifications, performing and documenting workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Configuration & Optimization: Using in-depth knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet end-user needs, and implements new technologies. Problem Resolution & Support: Consistently facilitates issue resolution (both project and support) and collaborates with other IT teams, driving to completion with little or no assistance or direction from direct supervisor. Provides guidance and support to end-users to enhance the use of Epic and offers solutions to resolve end-user system issues. Conducts problem-solving and root cause analysis to resolve routine to moderately complex problems, identifies solutions, and completes documentation. Project Contribution & Management: Consistently contributes to and manages medium to large portions of projects within the assigned area. Contributes to and manages small to medium projects independently. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues. Process Improvement & Innovation: Independently initiates process improvement with some direction from management. Recognizes the potential of the application to change and improve workflows while maintaining or improving current practice standards. With some direction from management, makes decisions that refine and improve known practices or develops new approaches (researching and assessing new technology or functionality). Collaboration & Mentorship: Works with all clinical, business, and technical resources in a positive, supportive, and collaborative manner. Reviews and recommends enterprise-level solutions while fostering collaboration. Consistently assists with training employees and provides subject-matter direction and guidance to less experienced analysts, assigning, monitoring, and reviewing progress and accuracy of work. Technical Analysis & Documentation: Contributes to in-depth workflow analysis, data collection, report details, or other technical configurations to understand application functionality and what is needed from a customer perspective. Creates and maintains documentation and training materials regarding the implementation of applications. EXPERIENCE Required 5 years experience with systems administration experience within one or more Epic environments. Preferred 5-8 years of systems administration experience within one or more Epic modules. 3 years of experience in the healthcare industry. . SKILLS Possesses and consistently applies a broad and in-depth knowledge of the concepts, principles, practices, and processes of the specific field or discipline. Possesses significant expertise to complete complex assignments and ability to visualize, articulate, and solve complex problems. Ability to handle analysis, design, system configuration, and testing tasks at basic to moderate levels of complexity. Consistently solves a range of problems by analyzing possible solutions using standard processes. Solves complex problems often taking a new perspective using existing and innovative solutions. Excellent customer service skills. Uses critical thinking skills for assigned tasks. Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork. Strong organizational skills in managing priorities. Demonstrates knowledge of project management principles as they relate to assigned tasks. EDUCATION Required Associates Substitutions 2 years of relevant work experience in lieu of an Associate's Degree Preferred Bachelor's degree in Computer Science, Information Systems, Healthcare or relevant experience LICENSES or CERTIFICATIONS Required Epic Application Certification within 6 months. Preferred Epic Beaker Certification/Accreditation. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Remote-based Teaches / trains others Occasionally Travel 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: $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 :Highmark Inc. : This job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve This role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance space. This is a remote based role. ESSENTIAL RESPONSIBILITIES Perform basic analysis using knowledge of moderate-to-complex business rules by interpreting and analyzing data from various sources and formats and utilize the data for configuration activities. Translate moderate-to-complex business needs and business rules to define and execute operations activities for high quality solutions to meet customer and plan partner needs. Document and execute medium-to-complex product and benefit configuration rules. Assist in and is accountable for identification, documentation, and escalation of risks, data errors and issues throughout the configuration process. Assist in development of testing plan, scenarios, and documentation to ensure high quality of product. Perform both end-to-end and user acceptance testing to ensure high quality of product. Other duties as assigned or requested. EDUCATION Required High School Diploma/GED Substitutions None Preferred Associate's Degree in Healthcare Administration, Business, Information Science or other related field EXPERIENCE Required 3 - 5 years of experience in health care industry or other related field 3 - 5 years of experience in business analysis, system analysis, or other related function working with logical data structures Preferred 3 - 5 years of experience in health insurance operations, benefits operations, or other related field related is preferred 3 - 5 years of experience with client, product, and/or benefits configuration techniques LICENSES AND CERTIFICATIONS Required None Preferred None SKILLS Excellent detail-oriented skills Good customer service skills with moderate experience working with customers, sales, and/or clients High proficient oral and written communication skills Ability to understand and resolve moderate to complex data relationships, data conflicts, and data discrepancies Ability to apply logical thinking and critical thinking skills to resolve moderate to complex problems and designs Proficient in understanding, analyzing, and applying moderate to complex business rules and configuration concepts LANGUAGE REQUIREMENT (Other than English)? None TRAVEL REQUIREMENT 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches/Trains others regularly Rarely Travels 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) Does Not Apply Physical Work Site Required No 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 position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $24.53 Pay Range Maximum: $38.00 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

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. ****Must be onsite 5 days a week in Columbus, Ohio**** **Travel required between sites - less than 25%** **Position Purpose:** Tracks and manages the IT (Information Technology) asset life cycle from selection and depreciation to retirement and replacement. Leads in identifying, controlling, recording, reporting, auditing, and verifying configuration items and asset records, including versions, baselines, constituent components, their attributes, and relationships. + Plans, monitors, and records hardware assets and/or software licenses to ensure they comply with vendor contracts and asset life cycle policy requiring a very high level of attention life cycle detail. + Applies a continuous improvement approach in enhancing the strategies employed in technology spending, as well as in tracking company assets within the Configuration Management Database (CMDB) and other asset management tools throughout their life cycle + Ensures effective management of the CMDB and Asset Management tools and the accuracy of content in the tools + Comfortable working in a datacenter environment, lifting up to 50 lbs, operating pallet jacks/forklifts, and driving a Sprinter van + Provides KPI/metric information and standardized reporting on a scheduled and ad-hoc basis + Oversees the schemes for identifying hardware and software-related assets as well as CIs (configuration items), including versioning and dependencies in the asset management tools, attributes, the contract management library, asset tables and the CMDB + Manages inventory of CIs and assets (including dependencies and attributes), making sure that modifications, withdrawals, and additions of existing ones are correctly recorded by teams within the tools to ensure compliance with vendor contracts + Performs verification and audit of CMDB and other asset management toolset content; verifies software assets with license contracts, confirms hardware assets with actual inventory, and initiates corrective actions including reclamation + Oversees the design and improvement processes relating to software and hardware asset management + Creates, monitors and tracks requisitions through approval to the creation of the purchase orders and validates accuracy of incoming order + Acts as a technical resource for peers with less experience + Leads small projects with low levels of risk and resource requirements + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. **Technical Skills:** One or more of the following skills are desired. + Knowledge of Other: ITSM (Information Technology Service Management) and ServiceNow tools; licensing agreements involving software; IT Service Management processes including continuous improvement + Experience with Other: CMDB and the specific business services that it supports **Soft Skills:** + Intermediate - Seeks to acquire knowledge in area of specialty + Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions + Intermediate - Ability to work independently + Intermediate - Demonstrated analytical skills + Intermediate - Demonstrated project management skills + Intermediate - Demonstrates a high level of accuracy, even under pressure + Intermediate - Demonstrates excellent judgment and decision making skills **License/Certification:** + IAITAM (International Association of Information Technology Asset Managers) CITAM (Certified IT Asset Manager); CHAMP (Certified Hardware Asset Management Professional); CSAM (Certified Software Asset Manager) Preferred Pay Range: $73,800.00 - $132,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Configuration Analyst will primarily configure and develop within StepWise, our automated rating and pricing system, and consult with business users on requirements gathering, system design, configuration, and implementation. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Proactively partner and consult with business resources to design and develop innovative solutions for difficult business problems * Cross functional requirements gathering, system consultation, and implementation of system design and configuration * Partner directly with the UHC Underwriting and Actuarial Team * Support and understand the rating formulas and factors, system workflow, and implement appropriate design and configuration of workflow portals within the StepWise application suite * Analyze advantages and limitations of multiple solutions options. Recommend and develop referred option * Work with user interface design and/or workflow design automation * Develop user interfaces with HTML and CSS * Create and maintain SQL Stored Procedures * Utilize SQL-based systems to solve business problems * Work with multiple project deadlines with minimal supervision * Serve as a subject matter expert for others * Present material to peers and clients You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's Degree in Finance, Business, Actuarial Science, Math, Economics or a related degree * 2+ years of experience with Microsoft Excel and/or Access including complex formulas, calculations, macros, VBA, etc. * 2+ years of SQL experience * Experience in an Actuarial and/or Underwriting role * Hands-on professional experience in using Excel or SQL-based systems to solve business problems Preferred Qualifications: * 2+ years programming (software programming or configuration within the framework of an application) * Experience with user interface design and/or workflow design automation * StepWise development experience * Experience working in the Health Care Industry (commercial and group business lines) * Experience working in the Insurance Industry * Cascading Style Sheets (CSS) experience * XML experience * Expertise in rating systems (Software applications and/or Excel tools) - as a consultant, super user, or technical design/implementation subject matter expert * Proven proactive in analyzing and recommending system solutions for business processes * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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.