Project Manager
Highmark Concrete Contractors job in Sumner, WA
JOB TITLE: Project Manager
REPORTS TO: Senior Project Manager or Vice President
STATUS: Exempt
SUMMARY: The Project Manager is responsible for overseeing construction activities on assigned projects by planning, organizing, and implementing site specific safety programs, project control systems, subcontractor and supplier management, purchasing and scheduling efforts. The Project Manager is the one ultimately responsible for ensuring that the project is completed in a timely manner in strict accordance with plans, specifications, local codes, budget, and schedule constraints. The Project Manager coordinates and oversees the work of the project team. The Project Manager must be able to work independently but also succeed as part of a project team. One of the responsibilities of the Project Manager includes being the key representative for the Company for all assigned projects. This position requires a strong understanding of construction methods, excellent documentation skills and good interpersonal skills to communicate effectively with all members of the project (both internal & external). The project Manager must be a flexible and adaptable team-player.
KEY INTERFACES: Field Engineer, Project Engineer, Superintendent, Estimator, Executive Management, Subs/Suppliers, Owner/Client/Engineer
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Communicates and helps to enforce the Company's Health & Safety Program
Demonstrates his/her own commitment to an injury-free workplace through own actions
Maximizes use of all company resources, including craft, staff, and equipment
Assists in hiring, training, and development of staff personnel
Provides project staff with opportunity, experience, guidance, training, and regular evaluation for career development
Requires individual accountability for staff operational performance
Is proactive in striving for continuous improvement in all operations and administrative processes, and ensures that quality standards and goals are met
Develops and maintains open communications with Project Administrators, Project Engineers, Superintendents, Safety Personnel and other internal team members
Oversees the preparation of work plans and scheduling to determine manpower levels, material quantities, and equipment requirements
Advises senior level management of potential problems, work interferences, schedule difficulties, etc.; leads the efforts to resolve such problems when encountered
Develops and maintains good business relations with the project Owner/Client/Engineer, customers, vendors, subcontractors, and/or other associates of the project
Establishes project objectives, policies, procedures and performance standards in accordance with Company policies, goals, and principles
Manages all financial aspects of the project including prompt, accurate and timely pay estimates, accounts receivable, positive cash flow, and minimized retention
Ensures accurate cost and revenue reporting and forecasting procedures are practiced in accordance with company policy. Prepares accurate monthly cost and revenue projections
Maintains control of the project schedule. Ensures that milestones are met and that critical items of work are accomplished on time or ahead of schedule
Manages contract administration to ensure all contract, permit, and legal requirements are met including schedule, document control, change order/claims management, daily reports/diaries, as-built documents, submittals, and weekly project meetings
Manages project administration to ensure all operational requirements are met and in accordance with the company policy and procedure including cost management, quality control, recordkeeping, payroll, accounting and reporting functions, survey, job engineering, and purchasing
Assists company estimating staff in bidding and winning work
Market the company's expertise while continually seeking new contract opportunities
Perform additional assignments as directed by the Senior Project Manager or Executive Management
ESSENTIAL JOB QUALIFICATIONS
REQUIRED SKILLS: Strong knowledge of computers and experience with MS Office Suite including Word, Excel, and PowerPoint; Strong written and verbal interpersonal communication skills; strong ability to lead and motivate others; good time management & organizational skills; ability to work independently or as part of a team; strong work ethic, positive attitude, dependable, ethical, and having high integrity; ability to maintain discretion and confidentiality at all times; good attention to detail, with the ability to recognize discrepancies; understanding of cost management processes, planning, and scheduling.
PREFERRED SKILLS: Experience in HCSS Heavy Job, Heavy Bid, Plan Grid, Bluebeam, Microsoft Project, and Vista Viewpoint.
EDUCATION AND EXPERIENCE: Individuals must have at least 5 years of supervisory experience with exposure to various construction disciplines and safety regulations and know how to apply them. Experience in leading multi-million dollar contracts, including ownership of operations, project administration, client relations and all other scopes of work relative to large construction projects. Individuals should have demonstrated expertise in the use of cost management systems, including ability to review, evaluate, and prepare cost management reports and labor trend reports. A Bachelor's Degree in Construction Management, Engineering, or equivalent is not necessarily required but is favorable; however, proven relevant work experience in the Concrete Structures industry will be primarily, and strongly, considered.
BENEFITS PACKAGE: Highmark offers an excellent benefits package which includes:
Competitive salary
Use of a company vehicle and gas card for business related travel
Health and Dental Insurance for the employee and his/her eligible dependents
401k savings plan with company match on contributions up to 3 percent of annual base wages
Paid Time Off program which allows individuals to accrue at least 15 days per year
Paid Holidays (in addition to the Paid Time Off program)
Wellness reimbursement for qualifying expenses which promote overall heath and well being
Participation in the Company's Project Specific Incentive Program (PSIP)
EQUAL OPPORTUNITY EMPLOYER: Highmark Concrete Contractors is an equal opportunity employer. All individuals will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, or age.
PHYSICAL DEMANDS: To successfully perform the essential duties of this position, an individual must be able to perform in an active construction environment, regularly sit, stand, walk, talk and listen, and frequently lift and carry objects up to 10 pounds and occasionally lift and carry objects up to 30 pounds. Individuals must be able to access all points of a construction site in a wide range of work environments.
LIMITATIONS AND DISCLAIMER:
The above job description is meant to describe the general nature and level of work being performed; it is not intended as an exhaustive list of all duties, responsibilities and required skills for the position. Employees will be required to follow any other job-related instructions and to perform other duties requested by their supervisor in compliance with Federal and State Laws.
Requirements are representative of minimum levels of knowledge, skills and/or abilities necessary to perform each duty proficiently.Continued employment remains on an “at-will” basis, which means that individuals are not guaranteed employment for any specific length of time, and either the individual or the company may terminate employment at any time, with or without cause, and with or without notice.
Manager Broker Experience
Highmark Health job in Olympia, WA
This job manages the development and execution of short-term and long-term objectives to standardize business practices and enhance system applications. Actively participates in and leads projects. Develops and implements appropriate controls and processing methods and manage adherence to. Manages staff responsible for addressing daily system and process issues. Provides leadership in the development, implementation, management and accurate maintenance of all contractually-based producer arrangements. Establishes and maintain all operational and system processes across the organization to support producer arrangements.
**This role can be remote or hybrid - If you are within 50 miles of an office you are required to be onsite 3 days a week - T, W, Th.**
**ESSENTIAL RESPONSIBILITIES**
+ Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
+ Lead the delivery and execution of projects by: analyzing, identifying and problem solving business and systems issues; presenting recommendations to senior management; managing development of requirements, standard operating procedures, functional roles and responsibilities, process flow and user guides. Serve in consulting/training role to direct reports to develop and execute comprehensive test scripts decreasing likelihood of defects to be corrected after implementation.
+ Identify, research, determine, implement and validate solutions, fostering an environment of continuous improvement across the organization. Oversee ongoing analysis and implementation of procedures and systems. Contribute to operational readiness, organizational change management, solution capability, packaging and estimating, planning and delivery management.
+ Lead the development and implementation of contractually-based producer arrangements by: interpreting and translating requests for enhanced business considerations; identifying operational capabilities and/or limitations in delivering requested enhanced business considerations; presenting and working through recommendations with senior management; defining operational process and necessary system development to implement and maintain agreed-to enhanced business communications. Communicate enhanced business considerations and operational processes across the organization. Establish and manage audit controls to ensure enhanced considerations are consistently and accurately adhered to.
+ Manages employees in the following analytical functions: 1) Analysis and approval of retroactive Producer changes, exception or advance payments, non-standard commissions, and requests for refunds from Producers; 2) Determination/ set-up of payment arrangements, data transfer, and licensure / appointment procedures for business partners; 3) Maintenance/dissemination of state requirements for producer appointment and licensing; 4) Production of complex reports for Sales, Producers, Business Partners, Regulators and other business areas and external parties; 5) Monitoring and internal auditing of various business partners relative to payment and producer of record accuracy, appointment compliance and other controls; 6) Maintenance of workflow procedures, form communications, and messaging.
+ Maintains master Producer contract forms, coordinates amendments and re-distribution of contracts, and works with the legal department on complex contractual issues and special language requests.
+ Acts as custodian/business owner of the payment processes and functional project manager of commission cycle.
+ Coordinates/approves payment system enhancements, relevant system requirements for corporate projects and business partner implementations.Works with other business areas to resolve complex system issues and payment problems.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's degree
**Substitutions**
+ 6 years related and progressive experience in lieu of Bachelor's Degree
**Preferred**
+ Master's Degree
**EXPERIENCE**
**Required**
+ 5 years in Healthcare, Technology or Project Management
+ 3 years in a leadership or management role
**Preferred**
+ 5 years performing or managing administrative and compliance processes related to Producer Relationships
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ None
**SKILLS**
+ Customer focus, results orientation, strategic thinking, change advocate, continuous improvement, talent development
+ Knowledge of Producer agreements, commission payment calculation and how it interfaces with company financial systems.
+ Demonstrated competency in project execution and management of organizational units
+ Excellent written and verbal communication skills
+ Excellent leadership and interpersonal skills
+ Proven ability to build and sustain internal and external customer relationships
+ Experience evaluating and implementing technology
+ Presentation experience
+ Strong strategic development capabilities with creative problem-solving skills
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Constantly
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$78,900.00
**Pay Range Maximum:**
$147,500.00
_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: J273519
Associate Architect
Highmark Health job in Olympia, WA
Within area of expertise (application, solution, information, technology, business), assists in design, development, implementation, support, and optimization of architecture strategy to meet business capabilities and needs. Assists in ensuring completeness of architecture by adequately addressing all the pertinent concerns of its stakeholders. Assists in ensuring integrity of architecture by connecting various views of stakeholders, reconciling conflicting concerns, and showing the trade-offs made in so doing. Considers practicality and fitness for purpose in determining architecture to develop. Leverages business and technology knowledge to enable and/or alter business processes, practices, organizations and systems. Maintains knowledge of emerging technologies and best in class industry business trends and practices.
**ESSENTIAL RESPONSIBILITIES**
+ Assists in providing strategic consultation to business customers in defining or designing less complex business processes, functions and organizational structures, as well as in researching, identifying and internally marketing enabling technologies based on customer capability requirements. Facilitates development of enterprise business solutions that combine knowledge of particular business processes and issues, general technological options, and process facilitation techniques. Participates in enterprise strategy development, including environmental analysis, opportunity identification, value cases and business innovation portfolio development.
+ Assists in specifying and designing less complex systems, solutions, networks, infrastructure elements, or processes. Selects appropriate design standards, methods and tools and ensures that they are applied effectively. Reviews others' system design to ensure selection of appropriate technology, efficient use of resources and integration of multiple systems and technology. Establishes policy for selection of architecture components. Evaluates and undertakes impact analysis on major design options. Ensures that the system architecture balances functional, service quality and systems management requirements.
+ Assists in using appropriate tools, including models of components and interfaces, to contribute to the development of architectures. Produces detailed component requirements, specifications and translates these into detailed solutions/designs for implementation using selected products. Provides advice on technical aspects of system development, integration (including requests for changes, deviations from specifications, etc.) and processes. Ensures that relevant technical and business strategies, policies, standards and practices are applied correctly.
+ Assists in selecting and using tools and methods to establish, clarify, and communicate the functional and non-functional requirements of system users, their characteristics, and tasks. Identifies the technical, organizational, and physical environment in which less complex products or systems will operate. Identifies, proposes, initiates, and leads improvement programs, taking responsibility for the quality and appropriateness of the work performed and the realization of measurable business benefits. Modifies existing process improvement approaches and/or develops new approaches to achieving improvement.
+ Assists in ensuring the resolution of a variety of architecture and business problems and serves as a technical or business resource for less complex project initiatives.
+ Communicates effectively with all levels of organization
+ Manages expectations of customers, partners and management
+ Participates in customer walkthroughs and plans; design and technical walkthroughs; and problem resolution and decision making
+ Interacts with departments across the organization as necessary, including the development and interpretation of less complex requirements for peers and other staff.
+ Maintains an in-depth knowledge of specific technical aspects in area of expertise and provides advice regarding their application. The area of specific expertise may be any aspect of information or communication technology, technique, method, process, product, or application area.
+ Provides leadership in the areas of expertise and architecture to their peers, developers, management and business users including technical expertise, coaching, and ad-hoc training by:
+ Preparing presentations on less complex issues on the area of expertise
+ Presenting to their peers to ensure consistency to Highmark's strategic direction.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Information Technology or related field
**Substitutions**
+ 6 years of related experience in lieu of a 4 year degree
**Preferred**
+ Master's Degree
**EXPERIENCE**
**Required**
+ None
**Preferred**
+ Health insurance industry business knowledge
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ Industry certifications
**SKILLS**
An Architect is not required to have experience in all of these, but is required to have those needed to support applications they are responsible for supporting. Current skill set are reviewed every other year, new skills may be required to meet changing business needs.
+ Skills:
+ IMS, DB2, Oracle and Teradata Databases, Data Warehousing
+ COBAL, Visual Basic, C C++, SAS
+ Java/JavaScript Framework
+ PEGA, CSS3, Mobile, JSON, Cognos, Hadoop, SQL, J2EE, HTML5/XML
+ Project Management Tools:
+ Waterfall
+ Agile
+ Certification in application areas such as:
+ Java Developer
+ DB2, Cogno, PEGA, Enterprise Architect(SCEA), Project Management
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
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:**
$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: J273535
Strategy Advancement Advisor - Distribution Strategy
Olympia, WA job
**Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.
The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.
**Become a part of our caring community and help us put health first**
The Strategy Advisor (Distribution) provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for the Enterprise Growth vertical. The Strategy Advisor's work involves complex assignments performed without direction where the analysis of situations or data requires an in-depth evaluation of variable factors. This work may require leading end-to-end strategy engagements.
As part of the Strategy Advancement team, this role will support MarketPoint's investment rationalization and strategic planning efforts. The role requires comfort with ambiguity and creating new solutions in the "white space" where answers are not clear cut or readily available. A successful candidate will be someone who has worked for several years in large matrixed organization (e.g. a publicly traded corporation or large not profit organization) or has several years' experience with stakeholder management (strategy/operations at a top-tier consulting/professional services firm). They will have a demonstrated ability to synthesize large amounts of information into clear and concise outputs (PPT, Excel). This person must be comfortable working collaboratively with senior leaders and subject matter experts alike and should have a high degree of executive presence leading engagements with these stakeholders. This person also will be effective at multitasking and possess keen program and change management skills to balance an evolving set of priorities and deadlines. Healthcare experience is a plus, but not required, though must have a history of mastering an understanding of their prior industry.
Other examples of the kind of work required from this role include leading the analysis of complex business problems and issues using data from internal and external sources. The candidate should bring expertise or identify subject matter experts in support of multi-functional efforts to identify, interpret, and produce strategic recommendations and plans. The candidate's work will substantially shape the thinking of distribution org. They will exercise independent judgment and decision making on complex issues to determine the best course of action and work under minimal supervision.
**Use your skills to make an impact**
About the team: Humana's distribution organization, MarketPoint, plays a key part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. The MarketPoint strategy team was created to help transform Humana's customer acquisition approach. The team functions with a mandate to think creatively, discover new opportunities and re-envision operations to drive growth and deliver a first-class experience to our members and agents.
**Responsibilities:**
+ Leads multiple short- and long-term work streams sometimes across engagements, including hypothesis development, working sessions, and report-outs with leaders across the company, and documenting key ideas and actions to drive follow-up actions
+ Partners closely with finance, analytics, and operators to optimize, track, and report out on internal and external compensation strategy and results
+ Develop high-quality analysis and deliverables that clearly frame organizational objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations
+ Lead multiple cross functional investment sizing workstreams and provide high-level support for senior leaders to make informed decisions
+ Identify new growth avenues of opportunity through independent analysis and presents actionable findings
+ Lead key portions of presentations at high-visibility meetings
+ Assist MarketPoint leadership in communicating value and impact of MarketPoint initiatives to broader Humana organization
+ Coach junior team members to develop technical and professional skillsets
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ **3+ years** of progressive experience consulting in finance, strategic planning, or related roles.
+ Proven track record in **building compensation models** and **incentive design frameworks** .
+ Advanced proficiency in **financial modeling and Excel**
+ Demonstrated experience **managing large, complex budgets** and guiding senior leadership through **trade-off decisions** .
+ Strong background in **business case development** , including **value sizing** , ROI analysis, and scenario modeling.
+ Ability to influence and partner with senior executives to drive strategic decisions.
+ Exceptional analytical and problem-solving skills with a focus on **data-driven decision-making** .
+ Strong communication skills to present complex financial concepts clearly to non-financial stakeholders.
**Preferred Qualifications**
+ Healthcare industry experience, preferably in the managed care or provider sector
+ Experience in **compensation strategy** within large organizations.
+ Exposure to **enterprise-level budgeting and resource allocation** .
**Additional Information**
**- Position does have the potential for up to 5% travel.**
**- Position will be working Eastern (EST) hours.**
**Virtual Pre-Screen**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Work-At-Home Requirements**
At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$115,200 - $158,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-28-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyAssociate Business Process Analyst/HNAS
Highmark Health job in Olympia, WA
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
Associate Actuary
Olympia, WA job
**Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**In addition, the Associate Actuary will:**
+ Support long term projects aimed at advancing technical maturity, process efficiency, and forecasting accuracy. We are looking for creativity, curiosity, and a desire to explore and influence uncharted territory.
+ Conduct independent research, collaborate across many teams/departments, and require strong communication skills to be successful in the job.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ Associate of Society of Actuaries (ASA) designation
+ Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)
+ MAAA
+ Strong communication skills
+ Demonstrated ability to communicate technical information with audiences not in the actuarial space
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ 3+ years health industry experience with ASA, or 1+ years health industry experience with FSA
+ 2+ years SQL experience, or equivalent skillset
**Preferred Qualifications**
+ Medicare Advantage background
+ Creative, high degree of self-accountability
+ Experience in Python, PowerApps, and PowerBI
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$106,900 - $147,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-30-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Director Reimbursement Design & Market Evaluation
Highmark Health job in Olympia, WA
This job supports the matrixed strategic design and analytical approach to reimbursement. To be successful, the incumbent will work closely with stakeholders across the enterprise in the development and implementation of an integrated roadmap for the introduction and delivery of new and innovative reimbursement models across all of Highmark's markets and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry trends in both the commercial and government lines of business. This team will be responsible for supporting development and maintaining models that will drive both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this team is responsible for identifying those gaps, building requirements to drive the development of new capabilities, and tying them to Highmark's strategic capability roadmap. They will need to work effectively across teams to inform and influence change to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations.
**ESSENTIAL RESPONSIBILITIES**
+ Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
+ Develop the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement models for both government and private payers. Programs will include but not be limited to fee for service, pay-for-value programs, episode payments, prospective bundled payments, gain share and risk share models across all lines of business with the goal of maximizing quality while reducing healthcare costs. Develops and maintains a 3-5 year strategic roadmap outlining current and future reimbursement designs across markets and lines of business with input from key executives across the organization. It will require that this team keeps abreast of new developments in both the public and private reimbursement space, including new innovative models developed by CMS to ensure seamless integration and that the organization is ahead of the curve with regard to our strategy.
+ Work in a Health Economist approach to build and maintain analytical models that performs evaluation of reimbursement models. Continuously evaluates models and seeks for innovative ways to make improvements based on data and market research. Working closely with Contracting and Provider Relation Leaders and others across the enterprise to develop targeted reimbursement models that support enterprise strategic initiatives that might fall outside of planned value-based reimbursement designs and/or to serve as a focus of innovation.
+ Develop and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify and proactively communicate market transformation concepts with provider and professional advocacy societies and key thought leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to key provider partners.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Business, Finance, Healthcare Administration, or Related Field
**Substitutions**
+ 6 years of relevant work experience
**Preferred**
+ Master's Degree in Business or Healthcare Administration
**EXPERIENCE**
**Minimum**
+ 7 years Healthcare, Healthcare Insurance, Consulting or related area
+ 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery or related areas
+ 4 years Research and strategic planning around emerging trends in reimbursement, network, and payment model design. Demonstrate of the application of healthcare economic drivers and/or population health based analytics
To include
+ 1 year Experience working with technology vendors, and other service provider solutions to source key capabilities
+ 2 years Proven experience in working in a Health Economist capacity driving understanding of current health trends.
**Preferred**
+ 5 years Familiarity with alternative care model designs (e.g., patient centered medical home, ACO), alternative reimbursement models (e.g., bundled payments), and provider / health plan quality programs (e.g. pay for performance)
+ 5 years Familiarity with the delivery of health care services across the continuum and quality metrics.
+ 5 years Experience in running large cross organizational programs and projects
+ 5 years Familiarity with health plan and provider contracting or revenue management
+ 2 years Understanding of provider contract documents and overall contract management process
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ None
**SKILLS**
+ Excellent written and oral communication skills with the ability to present complex information clearly and persuasively. Including excellent leadership skills, with the ability to relate to all levels of management and staff as well as individuals external to the corporation
+ Highly effective oral and written communications skills
+ Ability to manage multiple, complex projects within prescribed timelines
+ Proficient in MS Office suite, including Word, Excel, PowerPoint and project management software
+ High level of autonomy and self-direction, to guide reimbursement model design from concept through to execution
+ Ability to successfully navigate complex organization, engaging multiple stakeholders to achieve reimbursement objectives
+ Strong financial background and analytical skills with a deep understanding of the economic drivers of healthcare
+ Comfort and with real-time calculations of cost, membership, etc. (i.e., "back of the envelope" estimations)
**Language: (Other than English)**
+ None
**Travel Requirement:**
+ 0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Does Not Apply
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies_
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$126,400.00
**Pay Range Maximum:**
$236,000.00
_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: J267196
Technical Engineer (Starburst)
Highmark Health job in Olympia, WA
*****CANDIDATE MUST BE US Citizen (due to contractual/access requirements)***** **Candidates within a 50-mile radius of a Highmark office (Pittsburgh or Mechanicsburg) are required to work on-site Tuesdays, Wednesdays, and Thursdays, from 8:00 AM to 5:00 PM EST. Those residing outside this 50-mile radius will be required to travel to Pittsburgh for an annual meeting.**
This job is an integral member of one of our teams responsible for supporting the design, development, and maintenance of our technical solutions, ensuring their efficient and reliable operation. This position will be responsible for the system administration of the Starburst Enterprise Platform (SEP) within the organization. Eligible candidates must have a strong knowledge and proven work experience with the infrastructure components of SEP and its supporting technologies. They will work closely with other technical professionals, analysts, and engineers to build and optimize solutions, ensuring quality, integrity, and performance. The ideal candidate is adaptable, solution-oriented, and capable of collaborating across multiple teams to support a broad range of technical initiatives. The incumbent, and team, may be involved in every aspect as a part of the technical process from idea generation, analysis, design, build, and support using various technologies and design patterns.
**ESSENTIAL RESPONSIBILITIES**
+ Responsible for one or many of the following tasks: analyzing, designing, coding, testing andimplementingtechnical solutions, as well as providing general production monitoring and support, meeting defined scope, target dates and budgets with minimal or no defects.
+ Collaborate with stakeholders across IT, product, analytics, and business teams to gather requirements and provide technical solutions that meet organizational needs
+ Monitor work against production schedule andprovide progress updates and report any issues or technical difficulties to leadership on a regular basis.
+ Document technical processes and procedures, and participate in technical reviews and knowledge sharing sessions
+ Collaborate on the design and implementation of with architecture to ensure solution alignment to enterprise goals and standards
+ Perform technical analysis and provide insights to support decision-making across various departments
+ Stay up-to-date with the latest relevant technologies and industry best practices
+ Other duties as assigned or requested.
**EXPERIENCE**
**Required**
+ 3 years of experience in one or many of the following tasks: analyzing, designing, coding, testing and implementing technical solutions, as well as providing general production support, meeting defined scope, target dates and budgets with minimal or no defects
+ 3 years of technical problem solving, solution implementation, team/project collaboration experience
+ 3 years of basic computer science concepts and principles, common operating systems, development languages/scripting
**Preferred**
+ 3 years experience installing, configuring, deploying, upgrading and managing Starburst Enterprise Platform (SEP) with a thorough knowledge of Starburst / Trino's distributed architecture, including coordinators, workers, and connectors.
+ 5 years experience in managing software applications using Infrastructure-as-Code (IaC) techniques and tools including Gitlab, Terraform, Ansible, Helm Charts, .yaml code, config properties, etc
+ 5 years experience with SEP security features, including authentication using LDAP, Kerberos, or OAuth and Role-Based Access Control
+ 5 years experience with various SEP data source connectors (e.g., Oracle, DB2, Teradata, S3, PostgreSQL, MySQL, etc) and their configuration within Starburst.
+ 5 years experience with monitoring, scaling, and troubleshooting SEP clusters.
+ 5 years experience identifying key metrics for Starburst platform health and performance, set up alerts, and analyze logs for root cause analysis.
+ Strong SQL skills, particularly with Trino's dialect and optimization techniques with the ability to analyze query plans, identify bottlenecks, and apply optimizations (e.g., query tuning, resource allocation, caching strategies).
+ Experience with the Google Cloud Platform and it associated services a plus.
**SKILLS**
+ Demonstrated ability to achieve stretch goals in a highly innovative and fast-paced environment
+ Adaptability: Ability to take on diverse tasks and projects, adapting to the evolving needs of the organization
+ Analytical Thinking: Analytical skills with a focus on detail and accuracy
+ Interest and ability to learn other technologies as needed
+ Technical Proficiency: Comfortable with a range of data tools and technologies, with a willingness to learn new skills as needed
+ Track record in designing, implementing, and/or supporting large-scale technical solutions
+ Sense of ownership, urgency, and drive
+ Demonstrated passion for user experience and improving usability
+ Team Collaboration: A team player who can work effectively in cross-functional environments
**EDUCATION**
**Required**
+ Bachelor's degree in Computer Science, Information Systems, Computer Engineering or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
**Preferred**
+ Master's degree in Computer Science, Information Systems,Computer Engineering or related field.
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**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._
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: J271372
Per Diem NP or PA, Senior Community Care - Lewis County, WA
Centralia, WA job
**$5,000 Sign-on Bonus for External Candidates** Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. May go into some private homes, group homes. This life-changing work adds a layer of support to improve access to care.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.**
Serving millions of Medicare and Medicaid patients, Optum is the nation's largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family of businesses. You have found the best place to advance your advanced practice nursing career. As an CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.
**Primary Responsibilities:**
+ Primary Care Delivery
+ Deliver cost-effective, quality care to assigned members
+ Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider
+ Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
+ Responsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit
+ The APC is responsible for ensuring that all quality elements are addressed and documented
+ The APC will do an initial medication review, annual medication review and a post-hospitalization medication reconciliation
+ Facilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians
+ Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed
+ Utilizes practice guidelines and protocols established by CCM
+ Must attend and complete all mandatory educational and Learnsource training requirements
+ Travel between care sites mandatory
+ Care Coordination
+ Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makers
+ Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members
+ Coordinate care as members transition through different levels of care and care settings
+ Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
+ Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member's needs and wishes
+ Evaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations
+ Program Enhancement Expected Behaviors
+ Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, CCM staff and other provider groups
+ Actively promote the CCM program in assigned facilities by partnering with key stakeholders (i.e.: internal sales function, provider relations, facility leader) to maintain and develop membership growth.
+ Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issues
+ Function independently and responsibly with minimal need for supervision
+ Ability to enter available hours into web based application, at least one month prior to available work time
+ Demonstrate initiative in achieving individual, team, and organizational goals and objectives
+ Participate in CCM quality initiatives
+ Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling
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:**
+ Certified Nurse Practitioner or Physician Assistant through a national board
+ For NPs: Graduate of an accredited master's degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP
+ For PAs: Graduate of an accredited Physician Assistant degree program and currently board certified by the National Commission on Certification of Physician Assistants (NCCPA)
+ Active and unrestricted license in the state which you reside
+ Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
+ Ability to gain a collaborative practice agreement, if applicable in your state
+ Ability to move a 30 pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations
+ Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
+ Must have availability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off-hours (after 5 pm, on weekends, and/or holidays)
+ not to exceed 960 hours in a calendar year
**Preferred Qualifications:**
+ 1+ years of hands-on post grad experience within Long Term Care
+ Understanding of Geriatrics and Chronic Illness
+ Understanding of Advanced Illness and end of life discussions
+ Proficient computer skills including the ability to document medical information with written and electronic medical records
+ Proven ability to develop and maintain positive customer relationships
+ Proven adaptability to change
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 $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
Director Data Services - Data Governance
Highmark Health job in Olympia, WA
This job is responsible for developing the strategy, planning and delivery of all aspects related to data governance, data warehousing, data management and related efforts for the organization. Directs the coordination of involvement of all business area Subject Manager Experts (SMEs) and other staff members. Promotes the proliferation of a data driven organization in end-user processes and the integration of applications; as well as the promotion of enterprise-wide thinking among business and technical areas. Responsible for defining, documenting, and making available data sources of truth throughout the enterprise. Participation in project management and budgeting to assure data related projects are included in the organizational roadmap and produce tangible results. Champions the use of data as an asset across the enterprise. Improvement and maturity of data sources to move through the life cycle of data, information, and knowledge.
**ESSENTIAL RESPONSIBILITIES**
+ Perform management responsibilities including, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develops and implements policies and programs as necessary; may have budgetary responsibility and authority.
+ Assure all related projects or initiatives are delivered on time, within the specified budget and in accordance with the agreed upon scope.
+ Define, build, and maintain a data warehouse/big data platform and associated data stores that maintain an enterprise focus and meet the needs of its varied stakeholders.
+ Ensure that decisions are made reflecting that position and carefully managing on the part of the incumbent to satisfactorily resolve situations with competing priorities or different perceptions, particularly among senior management.
+ Communicate and act as the ambassador for data management and data governance within the organization, which includes upward and downward communication of the outcomes produced through the efforts of the team and driving the organization to a data-driven operating approach.
+ Accountable for service level agreements and expectations with end-users and external stakeholders.
+ Ensure that the Enterprise Data Warehouse (EDW)/Big Data platforms meets the needs of its customers.
+ Deliver/manage/monitor all data extracts, both to internal and external constituents.
+ Other duties as assigned or requested.
**EDUCATION**
Minimum
+ Bachelor's Degree in Business, Information Science or other related area, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
+ Master's Degree Business, Information Science or other related area
**EXPERIENCE**
**Minimum**
+ 10 years of information technology experience functioning in a data warehouse environment to include at least 5 years' performing in a managerial capacity
+ 3 years of healthcare related experience
+ Experience developing strategic plans and/or product road maps and communicating technical concepts to varying audiences
+ Experience acting as liaison between business and technical teams, translating business terms to technical needs
**Preferred**
+ None
**SKILLS**
+ Analytical and problem solving skills
+ Project management experience with multiple major development projects, demonstrating leadership skills and a track record of managing technical/business staff, financial resources and outside vendors
+ Strong teamwork and interpersonal skills
+ Ability to lead process improvement initiatives
+ Strong knowledge and understanding of business needs
+ Ability to establish and maintain high level of customer trust and confidence
+ Demonstrated abilities in relationship management
+ Strong communication skills
**LICENSES AND CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ PMP
**TRAVEL REQUIREMENT:**
0 - 25%
**LANGUAGE REQUIREMENT (** **_other than English_** **)?**
_None_
**PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS**
**Position Type**
Office-Based
**Office-Based Positions**
An employee in this position works in an office environment. The position frequently requires the employee to communicate effectively with others both inside and outside the workplace (e.g., in person, via telephone, via email). The employee must be able to understand, interpret and analyze data, solve problems, concentrate, and research, use available technological resources and systems (e.g., computers and computer programs), multi-task, prioritize, and meet multiple deadlines to complete essential tasks. The employee generally works in a fast-paced and frequently stressful environment, must attend work on a regular and reliable basis as well as adhere to all workplace policies, and may be called upon to work outside regular business hours.
Teaches/Trains others regularly
Frequently
Travels regularly from the office to various work sites or from site-to-site
Does Not Apply
Works primarily out-of-the office selling products/services (Sales employees)
Does Not Apply
Physical Work Site Required
Yes
Lifting: up to 10 pounds
Does Not Apply
Lifting: 10 to 25 pounds
Does Not Apply
Lifting: 25 to 50 pounds
Does Not Apply
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement:_** _This 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:**
$126,400.00
**Pay Range Maximum:**
$236,000.00
_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: J271608
Phlebotomist
Seattle, WA job
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California, to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.
Under general supervision, the **Phlebotomist** will be responsible for performing a variety of laboratory duties, including specimen collection, processing, and waived testing. This position requires excellent communication skills, detail-oriented, and a passion for providing exceptional patient care.
**Schedule** - A 40-hour work week. Monday through Friday between the hours of 7:30 am to 5:00 pm PST. May include some Saturday and Holiday rotations. The schedule will be determined by the supervisor upon hire.
**Location:** **1448 NW Market Street, Seattle WA** **98107 (Ballard Location)**
**Primary Responsibilities:**
+ **Venipuncture and specimen collection:**
+ Collect blood specimens from patients using venipuncture and capillary puncture techniques promptly
+ Maintain a clean, safe, and efficient work environment
+ Process and prepare specimens for testing and transport
+ Troubleshoot and resolve issues related to specimen collection, testing, and equipment
+ Give proper patient collection instructions (i.e. urine collection, stool collection, etc.)
+ Instruct patients in post-phlebotomy care
+ Properly dispose of bio-hazardous and sharps materials
+ Obtain specimens for microbiology testing
+ Order sufficient supplies to perform the workload and rotate stock and prevent the use of outdated supplies
+ Always follow the venipuncture standard of work (SOW)
+ Always follow the processing standard of work (SOW) including positive identification of all patient specimens
+ **Perform waived laboratory testing:**
+ May perform waived laboratory testing
+ **Customer Experience:**
+ Interact with patients and healthcare providers in a professional and compassionate manner
+ While registering patients, always follow the reception standard of work (SOW)
+ Problem solves efficiently and promptly
+ Locate missing lab orders and specimens
+ Competent and efficient phone skills
+ **Duties integrated into all job functions:**
+ All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing job responsibilities, and conducting themselves professionally, courteously, and respectfully toward fellow employees, physicians, and patients
+ Must relate to other people beyond giving and receiving instructions: (a) get along with co-workers or peers without exhibiting behavioral extreme; (b) perform work activities requiring negotiating, instructing, supervising, persuading, or speaking with others; and (c) respond openly and appropriately to feedback regarding performance from a supervisor
+ Performs all duties in a manner that promotes and supports the Core Values
+ Integrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfaction
+ Must follow written and oral instructions and complete routine tasks independently
+ Complete all compliance training, including but not limited to HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signed Agreements
+ Ensures confidentiality of patient information by following HIPAA guidelines
+ Attends training to meet job position requirements Div. of Occupational Safety & Health (DOSH), OSHA, L&I, and other state/federal regulations
+ Have regular and predictable attendance
+ Ability to travel to other locations if needed
+ Performs other duties as assigned
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
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:**
+ High School Diploma/GED (or higher)
+ Medical Assistant - Phlebotomist (MA-Pbt) certification from the state to perform capillary and venous invasive procedures for blood withdrawal under the supervision of a health care practitioner
+ Completion of a Phlebotomy Certificate program through an accredited school
+ BLS certification or obtained within 6 months of employment
+ 1+ years of computer proficiency experience in Microsoft Office and demonstrates solid computer skills
+ Ability to have reliable transportation and travel to other draw stations
+ Able to use muscles to lift, push, pull, or carry heavy objects. Occasionally, lifting to 50 pounds and carrying up to 24 pounds may be required
**Preferred Qualifications:**
+ 6+ months of experience in a healthcare or patient-facing role, such as a medical assistant or support staff or phlebotomy and\or laboratory experience
**Soft Skills:**
+ Ability to work independently and maintain good judgment and accountability
+ Ability to acclimate working on a small or large team
+ Demonstrated ability to work well with health care providers
+ Strong organizational and time management skills
+ Ability to multi-task and prioritize tasks to meet all deadlines
+ Ability to work well under pressure in a fast-paced environment
+ Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
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 $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_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, #RED
Market Underwriter
Highmark Health job in Olympia, WA
This job serves as the single-point-of-contact for sales teams and assigned customers, delivering insights and recommendations to sales in order to aid customer acquisition/retention while maintaining performance goals. This incumbent will collaborate with cross functional team members on client-level quotes and function as a trusted adviser by providing financial and risk management support to sales as well as strategic insight.
**ESSENTIAL RESPONSIBILITIES**
+ Understand department and the company'sstrategic goals and competitive position and drives client-level results towards these ends. Actively work with Sales team to manage portfolio of clients towards financial and business targets, e.g. membership, revenue, margin, etc.
+ Proactively draw insights from quote details, client understanding and regional insights to deliver best-possible recommendation to Sales. State and maintain independent perspective, including under pressure from more senior individuals, identifying opportunities and concerns.
+ Responsible for portfolio of clients through underwriting engagement, from identification through documentation of final sold-contract details
+ Assess risk by looking at various risk measures such as risk scores, demographic analysis, and turnover considerations.
+ Serve as the accountable owner for all quotes delivered to sales partners. Develop a perspective on each client package deliverable. Clearly and confidently communicates Underwriting's position on the risk profile of each client
+ Identify tool improvement needs and communicates needs to Product Development teams
+ Maintain accurate book management details including concession budget
+ Other duties as assigned or requested.
**Required**
+ Bachelor's Degree in Science, Technology, Mathematics or related field
**Substitutions**
+ Six (6) years additional experience required in lieu of degree
**Preferred**
+ None
**EXPERIENCE**
**Required**
+ 3 years of Health Care Underwriting OR risk mgmt OR actuary work OR applying advanced mathematics
to include
+ 1 years of external client interaction or comparable external interactions
**Preferred**
+ 1 year in Risk Management **OR** of Actuary work **OR** of applying Advanced Mathematics
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ None
**SKILLS**
+ Understanding of health products, services, risk assessment and techniques
+ Consultative mindset
+ Strong Oral and Written Communications skills
**Language (Other than English):**
None
**Travel Requirement:**
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
Constantly
Lifting: 10 to 25 pounds
Rarely
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:**
$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: J272541
Summer 2026 Software Engineer Graduate Intern
Highmark Health job in Olympia, WA
**SUMMARY OF JOB RESPONSIBILITIES** This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the next generation of diverse business professionals. To that end, the program will provide hands-on training and experience in the business line, expose the various career opportunities in the business line and related areas, and prepare participants for positions in the business.
**REQUIRED QUALIFICATIONS**
Bachelor's degree.
Pursuance of a graduate degree full or part-time in an accredited college or university in Software Engineering, Data Analytics, Computer Science or a related area.
**ESSENTIAL JOB FUNCTIONS**
1. Communicate effectively. This position displays effective communication skills while interacting directly with colleagues, clientele, and/or other internal or external constituencies in the planning of assignments and the resolution of day-to-day operational problems.
2. Under supervision, provide professional services as appropriate to the day-to-day operating objectives of the area. Receives guidance, training, and mentoring from senior personnel in planning and carrying out activities and assignments.
3. Undertake and/or participate in projects and programs designed to develop professional skills and expertise appropriate to the needs of the organization.
4. Participate in the planning and implementation of unit projects and initiatives within area of expertise and ability.
5. As specifically requested by management, conducts research and reporting inclusive of recommendations or alternative proposals for action.
6. Undertake related studies or enrichment programs as appropriate to the specific objectives of the operating unit.
7. Perform miscellaneous job-related duties as assigned.
**_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:**
**Pay Range Maximum:**
_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: J270859
Scheduling Specialist
Renton, WA job
Explore opportunities with Assured Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs.
Primary Responsibilities:
* Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers
* Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits
* Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits
* Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate
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:
* High school education or equivalent experience
Preferred Qualifications:
* 1+ years of scheduling experience in a health care setting using an online scheduling system
* Exceptional organizational, customer service, communication, and decision-making skills
* Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits
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 $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable
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.
Field Based Community Health Worker (CHW) - King, Pierce, or Snohomish counties
Seattle, WA job
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.**
As a **Field Based Community Health Worker (CHW)** , you will act in a liaison role with Medicaid members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. CHW's work in a team - based structure and spend the majority of their time in the community engaging directly with members. Interesting in learning to work with medically complex patients who may be experiencing significant addiction and / or behavioral health conditions is important for this role.
Expect to spend about 50% of your time in the field visiting our members in their homes or in long-term care facilities, in the King, Pierce, or Snohomish Counties, WA region. You'll need to be flexible, adaptable and, above all, patient in all types of situations.
**Scheduled:** Monday - Friday with some evening and weekend hours to attend community events.
If you reside near **King, Pierce, or Snohomish counties** , you will have the flexibility to telecommute* as you take on some tough challenges.
**Primary Responsibilities:**
+ Create a positive experience and relationship with the member
+ Proactively engage the member to manage their own health and healthcare
+ Provide member education on community resources and benefits
+ Support member to engage in work or volunteer activities, if desired, and develop solid social supports through deeper connections with friends, family, and their community
+ Engages members primarily face to face or over the phone to discuss their need for provider follow up
+ Creates a positive experience and relationship with the member to drive Quality performance within our assigned membership.
+ Conducts outreach to encourage participation in health-related programs, services, and/or providers
+ Engages patients by driving to the homes of the unable to reach population
+ Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines
+ Knowledge and continued learning of community cultures and values
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ 1+ years of experience in local community-based resources
+ Intermediate level of proficiency in MS Word, and Outlook
+ Resident of Washington state
+ Designated workspace inside the home with access to high-speed internet
+ Ability to travel in assigned territory approximately 50% of the time with your own means of transportation
+ Available to work Monday through Friday, 8 AM to 5 PM and open to working some evenings and weekend hours for events
+ Access to reliable transportation & valid US driver's license
**Preferred Qualifications:**
+ Bachelor's degree in social work, licensed practical nurse (LPN), MA/CNA/HHA or HS graduate with 1 year of experience working within the community health setting in a health care role
+ One of the following credentials/experiences:
+ Licensed Practical Nurse (LPN)
+ Certified Nursing Assistant (CAN)
+ Home Health Aide
+ Certified Medical Assistant
+ Social work experience
+ CHW Accreditation
+ 2+ years of community outreach work experience
+ 2+ years of field-based experience
+ Knowledge and/or experience with behavioral health or substance use disorders
+ Care management experience
+ Experience working in Managed Care
+ Experience with EHR
+ Knowledge of Medicaid and / or Medicare population
+ Bilingual Spanish and English
*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 $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_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 #RED
Business Process Engineer
Highmark Health job in Olympia, WA
This job leads, supports and facilitates process improvement initiatives across multiple functional units for both strategic and continuous process improvement efforts. Strategic and transformational support includes design and support throughout implementation to ensure people/process/technical solutions align with strategic initiative while driving consensus among business units including process ownership and governance. Design activities include the documentation, management and oversight of end to end workflow process analysis assuring improved productivity, cost effectiveness, appropriate embedding of Key Performance Indicators, and appropriate controls for both regulatory and compliance considerations. Provides consultative services and analytic support to business management leveraging LEAN practices, Six Sigma methodologies and tools, capacity planning, resource allocation, work simplification, service level management, organizational design, consolidation, performance measurement systems, productivity improvement and expense control.
ESSENTIAL RESPONSIBILITIES
+ Support or lead the definition, scoping, chartering efforts for business process analysis/design projects related to process improvement initiatives assuring optimal business and functional delivery of the strategic delivery framework. This includes business modeling, documentation of the operating blueprint and process solution blueprinting efforts following the strategy definition as well as supporting the execution of the process solution blueprint during the implementation phase.
+ Provide process and business consultation services which include research, analysis facilitation, process modeling, and business process improvement techniques to propose and implement business and system solutions that meet strategic objectives. Provide and support periodic reporting to leadership on assigned project activities.
+ Establish and maintain strong working relationships across business unit/area level of management continuing to promote and continually broaden the level of business knowledge and the impact of quality/process improvement projects and programs. Participate in planning sessions with business owners to improve business processes and to prioritize and drive process re-engineering initiatives including process ownership and governance.
+ Participate and support business case development process to identify change execution impacts to people, process, and technology solutions to achieve business objectives. Participate and support the Change Execution Process assuring resource alignment/impacts are aligned with the process governance model.
+ Drive comprehensive business process standards, analysis and measurement to assigned projects including the definition of business process modeling standards for assigned projects and evolve the Business Process Management Nomenclature standards of a Business Process Competency Center.
+ Support the expansion and development of Continuous Process Improvement and business process engineering skills, including Lean Six Sigma methodology across specific divisions and the enterprise, promoting the understanding and use of process improvement tools and concepts. Support leadership and management with regard to the planning, implementation and production support of Lean Six Sigma projects and the Lean Six Sigma COE.
+ In collaboration with release planning and implementation functions across varying divisions and business platforms. Ensures all changes to processes are reflected in the repository of process documentation.
+ Access and analyze processes, data points, and controls to determine sub-optimal performance, communicate findings clearly and effectively and make recommendations for improvement. Identify root causes of problems and demonstrate the ability to development and make recommendations for solutions to mitigate root cause.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Business, Industrial /Management Engineering or IT related field
**Substitutions**
+ 5 years experience in Process Improvement; to include process documentation or change, collection and analysis of related metrics, problem solving, and reduction in cycle time.
**Preferred**
+ Master's Degree in Health Administration, Business Administration, Industrial Engineering or IT Development
**EXPERIENCE**
**Required**
+ 5 - 7 years Managing small to medium projects across multifunctional teams
+ 3 - 5 years of related, progressive experience in the area of specialization
**Preferred**
+ 2 years in the Healthcare Industry
**LICENSES AND CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ Six Sigma Black or Green Belt
+ Project Management Professional (PMP)
**SKILLS**
+ Strong Facilitation skills
+ Strong verbal and written communication skills
+ Ability to use statistical assessment to quantify opportunities and to achieve process optimization
+ Knowledge of the roles and deployment of change execution
+ Knowledge of Business Process Modeling concepts and components and their respective application
+ Strong understanding of Highmark specific domains
+ Ability to observe and provide constructive performance feedback
+ Knowledge and understanding of Business Process Engineering standards/protocols
+ Knowledge and understanding of Lean Six Sigma Tools and Methodologies
**Language (Other than English)**
None
**Travel Requirement**
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
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Does Not Apply
Physical work site required
Yes
Lifting: up to 10 pounds
Occasionally
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:**
$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: J272323
Primary Care Physician (IM/FM), Per Diem - Seattle
Seattle, WA job
**Optum WA, (formerly The Polyclinic) is seeking a Per Diem Primary Care Physician to join our team in Seattle, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live.** **As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together.**
**Position Highlights & Primary Responsibilities:**
+ Outpatient Primary Care including office consults, annual visits, follow up appointments and in office procedures.
+ Per Diem Position: Provide coverage for times of vacation, leave, etc.
+ Strong Medical Assistants, RNs, and Clinical support
+ Many of our clinics have onsite lab and x-ray, specialty services, pharmacy services, behavioral health services and walk-in clinics.
The Polyclinic joined Optum in 2019, working together across the Puget Sound, the partnership means we're able to expand our services and locations to offer even more services. As we grow, we'll keep on giving you top-quality care, just as we always have. Together, we're making health care work better for everyone.
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:**
+ Unrestricted WA state license or the ability to obtain prior to start date
+ M.D. or D.O.
+ Current DEA certificate required prior to start date
+ BC/BE in Family Medicine, Internal Medicine or Med-Peds
+ EMR Proficient
**Preferred Qualifications:**
+ Experience working in an outpatient primary care clinic preferred
The hourly range for this role is $140 per hour. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Associate Architect - Oracle PaaS Administrator
Highmark Health job in Olympia, WA
*****CANDIDATE MUST BE US Citizen (due to contractual/access requirements)***** We are seeking a highly skilled and experienced Oracle Platform as a Service (PaaS) Administrator to join our dynamic team. This pivotal role involves leading the definition and design of complex Oracle Financial PaaS processes and functions, facilitating the development of sophisticated enterprise business solutions, and contributing to strategic initiatives. The successful candidate will play a critical role in ensuring the robust, secure, and efficient operation of our Oracle PaaS environment, balancing functional requirements with service quality and adherence to enterprise policies and security standards. This role also involves providing leadership and mentorship in areas of expertise and architecture to peers, developers, management, and business users.
**Key Responsibilities:**
+ Lead the design and definition of complex Oracle Financial PaaS processes and functions.
+ Facilitate the development of advanced enterprise business solutions utilizing Oracle PaaS.
+ Contribute to enterprise strategy development, including opportunity identification and business innovation.
+ Select and ensure the effective application of appropriate design standards, methods, and tools.
+ Review application designs to ensure optimal technology selection, efficient resource utilization, and seamless system integration.
+ Ensure system architecture adheres to functional, service quality, security, and enterprise policy standards.
+ Participate in customer walkthroughs, technical reviews, problem resolution, and decision-making processes.
+ Provide leadership and mentorship to peers, developers, management, and business users on Oracle PaaS architecture and best practices.
+ Manage Oracle Cloud Infrastructure (OCI) resources, including provisioning and maintaining compute, storage (Object Storage, Block Volumes), and networking components (VCNs, subnets, NSGs, security lists).
+ Administer and configure Oracle PaaS services such as Oracle Integration Cloud (OIC), Autonomous Database (ADW, ATP), Oracle Analytics Cloud, and Oracle FDI, ensuring secure and efficient operation.
+ Implement and manage Identity and Access Management (IAM) through IDCS or OCI IAM, including role setup, policies, single sign-on (SSO), and application/user provisioning.
+ Conduct proactive monitoring, performance tuning, and cost optimization of Oracle PaaS environments.
+ Implement and enforce security best practices, including encryption, patch management, vulnerability scanning, backup/recovery, access audits, Cloud Guard, and Data Safe, ensuring SOX compliance.
+ Provide frontline support for incident management, diagnosing and resolving platform issues, coordinating with IT teams and vendors, and documenting operational processes.
+ Develop and maintain automation scripts (Shell, Python) for streamlining tasks, ensuring peer review and version control.
+ Maintain comprehensive technical documentation, oversee licensing, manage change control, and develop recovery plans.
+ Collaborate effectively with developers, analysts, and security teams, and potentially mentor junior staff.
**Core Skills and Experience:**
+ **Oracle Cloud Infrastructure (OCI) Expertise:** Compute, Storage (Object Storage, Block Volumes), Networking (VCNs, subnets, NSGs).
+ **Oracle PaaS Services:** Oracle Integration Cloud (OIC), Oracle Data Integrator (ODI), Identity Cloud Service (IDCS), Autonomous Database (ADW, ATP), Oracle Analytics Cloud (OAC), Visual Builder Cloud Service (VBCS), APEX, WebLogic.
+ **Database Administration:** Oracle Database administration and data transformation experience.
+ **Scripting & Automation:** Proficiency in Shell/Bash scripting and Python. Java experience is a plus.
+ **Security & Compliance:** IAM/Policy configuration, encryption, patching strategies, SOX compliance, and audit experience.
+ **APIs & Integrations:** Experience with REST APIs and FDI SOAP.
+ **Performance Optimization:** Proven ability in performance tuning, health checks, and cost tracking.
+ **Operational Excellence:** Strong skills in incident triaging, technical documentation, backup strategies, and disaster recovery.
**ESSENTIAL RESPONSIBILITIES**
+ Assists in providing strategic consultation to business customers in defining or designing less complex business processes, functions and organizational structures, as well as in researching, identifying and internally marketing enabling technologies based on customer capability requirements. Facilitates development of enterprise business solutions that combine knowledge of particular business processes and issues, general technological options, and process facilitation techniques. Participates in enterprise strategy development, including environmental analysis, opportunity identification, value cases and business innovation portfolio development.
+ Assists in specifying and designing less complex systems, solutions, networks, infrastructure elements, or processes. Selects appropriate design standards, methods and tools and ensures that they are applied effectively. Reviews others' system design to ensure selection of appropriate technology, efficient use of resources and integration of multiple systems and technology. Establishes policy for selection of architecture components. Evaluates and undertakes impact analysis on major design options. Ensures that the system architecture balances functional, service quality and systems management requirements.
+ Assists in using appropriate tools, including models of components and interfaces, to contribute to the development of architectures. Produces detailed component requirements, specifications and translates these into detailed solutions/designs for implementation using selected products. Provides advice on technical aspects of system development, integration (including requests for changes, deviations from specifications, etc.) and processes. Ensures that relevant technical and business strategies, policies, standards and practices are applied correctly.
+ Assists in selecting and using tools and methods to establish, clarify, and communicate the functional and non-functional requirements of system users, their characteristics, and tasks. Identifies the technical, organizational, and physical environment in which less complex products or systems will operate. Identifies, proposes, initiates, and leads improvement programs, taking responsibility for the quality and appropriateness of the work performed and the realization of measurable business benefits. Modifies existing process improvement approaches and/or develops new approaches to achieving improvement.
+ Assists in ensuring the resolution of a variety of architecture and business problems and serves as a technical or business resource for less complex project initiatives.
+ Communicates effectively with all levels of organization
+ Manages expectations of customers, partners and management
+ Participates in customer walkthroughs and plans; design and technical walkthroughs; and problem resolution and decision making
+ Interacts with departments across the organization as necessary, including the development and interpretation of less complex requirements for peers and other staff.
+ Maintains an in-depth knowledge of specific technical aspects in area of expertise and provides advice regarding their application. The area of specific expertise may be any aspect of information or communication technology, technique, method, process, product, or application area.
+ Provides leadership in the areas of expertise and architecture to their peers, developers, management and business users including technical expertise, coaching, and ad-hoc training by:
+ Preparing presentations on less complex issues on the area of expertise
+ Presenting to their peers to ensure consistency to Highmark's strategic direction.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Information Technology or related field
**Substitutions**
+ 6 years of related experience in lieu of a 4 year degree
**Preferred**
+ Master's Degree
**EXPERIENCE**
**Required**
+ None
**Preferred**
+ Health insurance industry business knowledge
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ Industry certifications
**SKILLS**
An Architect is not required to have experience in all of these, but is required to have those needed to support applications they are responsible for supporting. Current skill set are reviewed every other year, new skills may be required to meet changing business needs.
+ Skills:
+ IMS, DB2, Oracle and Teradata Databases, Data Warehousing
+ COBAL, Visual Basic, C C++, SAS
+ Java/JavaScript Framework
+ PEGA, CSS3, Mobile, JSON, Cognos, Hadoop, SQL, J2EE, HTML5/XML
+ Project Management Tools:
+ Waterfall
+ Agile
+ Certification in application areas such as:
+ Java Developer
+ DB2, Cogno, PEGA, Enterprise Architect(SCEA), Project Management
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
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:**
$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: J273116
Pharmacy Technician
Seattle, WA job
**"A Day in the Life" video** **Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.
Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start **Caring. Connecting. Growing together.**
We seek a **Pharmacy Technician** to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.
**Hours:** Monday - Friday, 8:30am to 5:00pm PST with lunch from 1:00pm to 1:30pm PST
**Location:** 1600 East Olive Street, Seattle, WA 98122
**Primary Responsibilities:**
+ Provides exceptional customer service to all consumers and members of the clinic staff
+ Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist
+ Orders, receives and stores incoming pharmacy supplies
+ Receives and processes wholesaler medication orders
+ Verifies medication stock and enters data in computer to maintain inventory records
+ Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements
+ Performs various clerical duties relating to the department
+ Communicates with strong professional verbal and written communication skills
+ Other duties as assigned
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
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:**
+ Active and unrestricted Pharmacy Technician license in the state of Washington
+ Access to reliable transportation
**Preferred Qualifications:**
+ National Pharmacy Technician Certification
+ Pharmacy and prescription data entry experience
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 $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_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 #RED
Associate Project Manager - HNAS
Highmark Health job in Olympia, WA
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.
Responsible for definition, planning and delivery of complex programs that require cross-functional collaboration and management of interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget. Includes the management of a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for the business.
**ESSENTIAL RESPONSIBILITIES:**
+ Works with business and technical organizations to drive out program strategy and approach. Organizes, plans, and maintains Program roadmap consisting of cross-functional activities/projects.
+ Work with business and technical organizations to assemble project teams. Lead Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program.
+ Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives. Acquire understanding of the business objectives for an assigned area."
+ Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals. Direct corrective action as needed to maintain the viability of the Program.
+ Develop and maintain positive customer relationships. Deliver presentations of project status to effectively communicate throughout the project lifecycle.
+ Adhere to Highmark project management methods, project lifecycle methodologies, and audit requirements. Support and contribute to the improvement of project management methods and practices.
+ Other duties as assigned or requested.
**QUALIFICATIONS:**
Minimum
+ High School Diploma or equivalent
+ One (1) to three (3) years experience performing project coordination activities such as analysis, information gathering, documentation preparation, project schedule maintenance, status report preparation, budget tracking, etc.
Preferred
+ Bachelor's degree
+ PMP certification or equivalent training
+ Health Care Insurance industry business and operational knowledge
+ Leadership skills
+ Solid organizational and planning skills
+ Exposure to an industry standard software development lifecycle
+ Good verbal and written communication skills
+ Good interpersonal skills
**Knowledge, Skills and Abilities**
+ Experience with customer relationship management
+ Presentation skills
+ Negotiation skills
+ Experience with conflict resolution
+ Experience with Risk Mitigation Planning
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$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: J271523