Data Manager jobs at Humana - 20 jobs

***** Ideal Candidate would work remotely but live in Connecticut** Provides subject matter expertise for oversight, production, and resolution of health plan payment integrity (PI) recovery concepts. Executes and monitors health plan scoreable action items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes procedures and techniques to achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment recovery. Manages inventory and works in collaboration with PI team to ensure SAI targets are met. Makes independent and informed decisions that contribute to health plan strategy, and acts as a trusted voice in resolving complex business challenges that impact cost-containment and regulatory compliance. **Essential Job Duties** _Business Leadership & Operational Ownership_ - Independently owns and manages scorable action items (SAIs), including assisting and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment datamining, and overpayment recovery, to improve encounter submissions, reduce general and administrative (G&A) expenses, and drive positive operational and financial outcomes for all payment integrity (PI) solutions. - Independently leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance. - Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies. - Serves as a thought partner to health plan leadership, and provides well-reasoned recommendations that support short- and long-term business goals. - Partners with the network team to communicate recovery projects to ensure provider relations is informed and able to respond to provider inquiries. _Strategic Business Analysis_ - Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. - Applies understanding of health care regulations, managed care claims workflows, and provider reimbursement models to shape payment integrity related recommendations and action plans. - Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement. - Partners with finance and compliance to develop business cases, and support reporting that ties operational outcomes to financial targets. _Applied Analytical Support_ - Uses data analysis tools/systems to support business analysis. - Validates findings and test assumptions through data, and leads with contextual knowledge of claims processing, provider contracts, and operational realities. - Creates succinct data summaries and visualizations that enable faster leadership decision-making. **Required Qualifications** - At least 5 years of business analyst experience in a managed care organization (MCO), and at least 3 years of experience in Medicaid and/or Medicare programs, or equivalent combination of relevant education and experience. - Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. - Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules. - Strong data analysis/queries experience, and ability to analyze data to inform business decisions. - Strong business judgment, cross-functional coordination, and ownership of high-value deliverables. - Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment. - Strong written and verbal communication skills, including ability to synthesize complex information. - Microsoft Office suite (including advanced Excel), and applicable software program(s) proficiency. **Preferred Qualifications** - Experience with Medicare, Medicaid, and/or Marketplace lines of business. - Certified Business Analysis Professional (CBAP) or Certified Coding Specialist (CCS) certification. - Project management experience. - Familiarity with Medicaid-specific scorable action items (SAIs), operational cost-management efforts, payment integrity (PI) programs, and regulatory/compliance adherence. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $80,412 - $171,058 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

***** Ideal Candidate would work remotely but live in Connecticut** Provides subject matter expertise for oversight, production, and resolution of health plan payment integrity (PI) recovery concepts. Executes and monitors health plan scoreable action items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes procedures and techniques to achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment recovery. Manages inventory and works in collaboration with PI team to ensure SAI targets are met. Makes independent and informed decisions that contribute to health plan strategy, and acts as a trusted voice in resolving complex business challenges that impact cost-containment and regulatory compliance. **Essential Job Duties** _Business Leadership & Operational Ownership_ - Independently owns and manages scorable action items (SAIs), including assisting and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment datamining, and overpayment recovery, to improve encounter submissions, reduce general and administrative (G&A) expenses, and drive positive operational and financial outcomes for all payment integrity (PI) solutions. - Independently leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance. - Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies. - Serves as a thought partner to health plan leadership, and provides well-reasoned recommendations that support short- and long-term business goals. - Partners with the network team to communicate recovery projects to ensure provider relations is informed and able to respond to provider inquiries. _Strategic Business Analysis_ - Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. - Applies understanding of health care regulations, managed care claims workflows, and provider reimbursement models to shape payment integrity related recommendations and action plans. - Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement. - Partners with finance and compliance to develop business cases, and support reporting that ties operational outcomes to financial targets. _Applied Analytical Support_ - Uses data analysis tools/systems to support business analysis. - Validates findings and test assumptions through data, and leads with contextual knowledge of claims processing, provider contracts, and operational realities. - Creates succinct data summaries and visualizations that enable faster leadership decision-making. **Required Qualifications** - At least 5 years of business analyst experience in a managed care organization (MCO), and at least 3 years of experience in Medicaid and/or Medicare programs, or equivalent combination of relevant education and experience. - Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. - Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules. - Strong data analysis/queries experience, and ability to analyze data to inform business decisions. - Strong business judgment, cross-functional coordination, and ownership of high-value deliverables. - Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment. - Strong written and verbal communication skills, including ability to synthesize complex information. - Microsoft Office suite (including advanced Excel), and applicable software program(s) proficiency. **Preferred Qualifications** - Experience with Medicare, Medicaid, and/or Marketplace lines of business. - Certified Business Analysis Professional (CBAP) or Certified Coding Specialist (CCS) certification. - Project management experience. - Familiarity with Medicaid-specific scorable action items (SAIs), operational cost-management efforts, payment integrity (PI) programs, and regulatory/compliance adherence. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $80,412 - $171,058 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business. -Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. -Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. -Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. -Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). -Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. -Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. -Works independently and resolves complex business problems with no supervision. -Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. -Works with project managers to define work assignments for development team(s). -Identifies, defines and plans software engineering process improvements and verifies compliance. -Mentors and trains systems/programmer analysts on software applications, business domain and design standards. -Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. -Recommends, schedules and performs software systems/applications improvements and updates. -Conducts studies pertaining to designs of new information systems to meet current and projected needs. -Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. -Excellent verbal and written communication skills -Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. **Job Qualifications** **Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience **Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care. Completes medication review for pre-admission and post-discharge reconciliation. Works with the care management and coordination teams to identify transition support services. Evaluates the needs of the member by completing post discharge assessments for members transitioning from healthcare facilities Evaluates medication and performs reconciliation between pre-admit and post-discharge medications Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions Facilitates the transition into active care management based on member needs Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve member overall quality of care Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner Other duties or responsibilities as assigned by people leader to meet business needs Performs other duties as assigned Complies with all policies and standards We are seeking to hire a Care Manager Transition of Care position! The ideal candidate will bring expertise in: Must reside in CA Post Discharge Care Coordination for Transitional Care Services Medi-Cal Care Management Excellent Customer Service and Communication Skills Strong Computer Skills Education/Experience: Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience. License/Certification: LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidates must reside in Florida (within one of the covered counties). This role will cover the following county: Broward Position Purpose: Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in the development of network management strategies. Assists in the strategic implementation of new initiatives for performance improvement. Serve as primary contact for providers and act as a liaison between the providers and the health plan ensuring a coordinated effort in improving financial and quality performance Identify and deliver solutions to providers concerns and issues as needed for resolution to internal partners Receive and effectively respond to external provider related issues Investigate, resolve and communicate provider claim issues and changes Engage with and educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics Perform provider orientations and ongoing provider education, including writing and updating orientation materials Manages Network performance for assigned territory through a consultative/account management approach Evaluates provider performance and develops strategic plan to improve performance Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Present detailed HBR analysis and create reports for Joint Operating Committee meetings (JOC) Develop proficiency in tools and value based performance (VBP) and educate providers on use of tools and interpretation of data Coaches new and less experienced External Reps Ability to travel locally 4 days a week Performs other duties as assigned Complies with all policies and standards Direct Provider Engagement: Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices. Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. Performance Management: Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets. Education/Experience: Bachelor's degree in related field or equivalent experience. Three or more years of managed care or medical group experience, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Strong communication and presentation skills Proficient in HEDIS/Quality measures, cost and utilization. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for developing and implementing comprehensive Privacy and Information Security awareness and training programs, educating Centene's workforce on security and privacy risks and how to mitigate them. Ensure the training and awareness program effectively drives behavior change so employees act securely and protect sensitive information. Develop and execute a comprehensive Privacy and Information Security awareness and training roadmap to ensure employees understand and embrace their cybersecurity responsibilities. Design and deliver engaging online learning experiences and virtual simulations using approved platforms, applying instructional design principles and content development expertise. Establish and monitor a clear training and professional development curriculum, including targeted programs for high-risk workforce members. Evaluate program effectiveness and recommend improvements based on data-driven insights. Support the communications, awareness campaigns, and security resources on cybersecurity and information protection topics. Manage the customization of vendor-supplied courses for privacy and information security training and awareness. Track and report metrics on behavior change using risk assessment tools and applications. Support leadership with presentations on security risks, accomplishments, initiatives, and metrics. Respond to inquiries via the Centene SECURE mailbox. Develop high-quality content including video scripts, articles, newsletters, posters, and presentations in support of security events and programs. Mentor other team members to build their writing abilities. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Writing, Journalism, Communications, Marketing, Business Administration, Cybersecurity, Information Systems, other related field, or equivalent experience required 5+ years Information Security experience, or related field required Licenses/Certifications: GIAC-GISP, CCAP, CSAP, or CISSP preferred but not required Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Oversees professional staff responsible for managing, coordinating, and implementing Charge Description Master ("CDM") and charge capture initiatives and processes to ensure revenue management and revenue protection. Serving in a senior leadership capacity, has direct interaction and interface with internal and external executive level staff. Facilitates CDM and charge capture education; ensures adherence to government/non-government regulatory directives; ensures appropriate levels of control are established to satisfy audit/review requirements; and facilitates revenue management communications and information flow. Oversees maintenance of accurate and timely patient accounting system(s) changes/updates to sustain data integrity and to facilitate claims processing; ensures quality reviews occur to identify and minimize system errors. Plans revenue management strategies as identified in data/report analyses to ensure consistency/standardization, to identify improvement opportunities, and to facilitate appropriate knowledge transfer. Plans, prepares, and administers annual budget; develops and maintains budgetary controls; balances department needs with Conifer annual budget goals. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Serves as a resource and in a consultative role to various levels of customers; works closely and collaboratively with other internal departments. * Manages a professional team to evaluate, review, plan, implement, and report various revenue management strategies to ensure CDM integrity; to identify charge capture improvement opportunities; resolve billing edits and to facilitate appropriate education. * Evaluates and maintains workflow processes to ensure efficiencies; works with all personnel involved in the revenue cycle to optimize CDM interfaces, billing edit resolution and charge capture processes. * Researches, evaluates, and interprets guidance from a variety of sources to determine department and/or facility impact and to ensure optimal revenue management; continually reviews and monitors billing and coding changes affecting CDM and charge capture processes to ensure accurate claims production, appropriate distribution of information, and to identify target areas for education. * Provides incident management and problem resolution; views incidents and problems from a systemic perspective to determine enterprise-wide solutions; oversees implementation of recommendations and monitors results to prevent recurrence; investigates complex issues as required. * Manages/oversees special projects and special studies as required for new clients, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, or other projects including, but not limited to: * Oversees pricing initiatives such as strategic pricing, across-the-board increases, tiered pricing, pricing transparency; conducts interim pricing reviews and performs financial analyses for strategic initiatives. * Manages implementation of CDM and/or charge capture corrective measures and monitoring tools to ensure sustainability of changes; reviews and monitors statistics and key performance indicators to identify improvement opportunities and ensure compliance with regulatory/non-regulatory directives. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): * This position may be required to monitor and explain expense variances to budget on a regular basis SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. * No. Direct Reports (incl. titles) Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to respond in a professional manner to complex inquiries from various levels of personnel * Accepts personal responsibility for the quality and timeliness of his/her work; establishes due dates for projects and assignments and meets those dates; efficiently organizes activities * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Adapts easily to changing conditions and work responsibilities; works well with people of vastly differing levels, styles, and preferences * Understands external and internal drivers affecting revenue management * Ability to read, review, analyze, and interpret a variety of state/federal regulatory information and managed care contracts and the affect on appropriate claims production including multiple patient accounting systems, clinical/order entry systems, ancillary systems, and CDM * Ability to utilize and research various published resources, appropriate reference materials, Internet resources, seminars, and other associated information sources to continually stay abreast of changes in regulatory information * Working knowledge in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor's degree or higher; related experience may be considered in lieu of degree * Prior supervisory experience required * Minimum of five years healthcare-related experience required * Working knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Prior CDM or charge capture experience required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Normal corporate office environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for developing and implementing comprehensive Privacy and Information Security awareness and training programs, educating Centene's workforce on security and privacy risks and how to mitigate them. Ensure the training and awareness program effectively drives behavior change so employees act securely and protect sensitive information. + Develop and execute a comprehensive Privacy and Information Security awareness and training roadmap to ensure employees understand and embrace their cybersecurity responsibilities. + Design and deliver engaging online learning experiences and virtual simulations using approved platforms, applying instructional design principles and content development expertise. + Establish and monitor a clear training and professional development curriculum, including targeted programs for high-risk workforce members. + Evaluate program effectiveness and recommend improvements based on data-driven insights. + Support the communications, awareness campaigns, and security resources on cybersecurity and information protection topics. + Manage the customization of vendor-supplied courses for privacy and information security training and awareness. + Track and report metrics on behavior change using risk assessment tools and applications. + Support leadership with presentations on security risks, accomplishments, initiatives, and metrics. + Respond to inquiries via the Centene SECURE mailbox. + Develop high-quality content including video scripts, articles, newsletters, posters, and presentations in support of security events and programs. + Mentor other team members to build their writing abilities. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Bachelor's Degree in Writing, Journalism, Communications, Marketing, Business Administration, Cybersecurity, Information Systems, other related field, or equivalent experience required 5+ years Information Security experience, or related field required **Licenses/Certifications:** GIAC-GISP, CCAP, CSAP, or CISSP preferred but not required Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Responsible for the management of several small to medium concurrent initiatives. Will work with key stakeholders, clients, and operation to ensure all key project milestones and timelines are achieved. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Manages multiple concurrent small to medium size project initiatives (e.g., new client onboarding, acquisitions, divestitures, system implementation, optimization/stabilization and internal initiatives) which support the company's strategic goals * Implements continuous process improvements for project initiatives policies, procedures, and processes to align with Conifer's "best practices" * Implements continuous improvement of communication and support provided to internal and external clients during project initiatives to ensure client satisfaction and achievement of financial objectives * Develops skill sets of team members to support succession planning INANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense) * For project initiatives, capital and expense costs are equal to or below those included in the approved financial model. SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. No. Direct Reports (incl. titles) 1 - 3 Analysts To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Knowledgeable in defining approach and resource requirements for projects, * Knowledgeable in leading teams both as direct reports and in a matrix environment with minimal direction * Project management experience including directing and leading multiple projects concurrently * Knowledgeable in understanding of business process outsourcing * Knowledgeable in and has developed influencing, negotiation, and communication skills * Knowledgeable and experienced in organizational, customer service, interpersonal, facilitation, and time management skills Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor Degree required (Preference for Business or Healthcare Administration) or equivalent work experience * PMP (PMI certified project manager) preferred but not required * Minimum of 5 years of project management experience in a matrixed environment * Minimum of 5 years experience in revenue cycle operations * Minimum of 2 years supervisory experience or 2 years managing resources in a matrixed environment * Proficient in Microsoft Excel, Word, PowerPoint, Visio, SharePoint and Project PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to travel at least 20-50% WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * The work environment is a standard office environment. OTHER * No additional information needed other than what has been provided above. Compensation and Benefit Information Compensation * Pay: $72,509 $108,763 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

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 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.** Consumer digital is looking for a senior technical product manager to guide the planning, execution, and successful delivery of initiatives across UHC's entire digital membership. Our digital experiences ensure that members find care at the right place, at the right time, with a full understanding of the impact against their benefits. The Senior Technical Product Manager is a strategic leader responsible for driving the execution of complex technical products. This role bridges the gap between engineering teams and business stakeholders, ensuring products are innovative, scalable, and delivered on time and with quality. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. during XYZ time zone business hours as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Cross-Functional Leadership: Collaborate closely with engineering, design, and business teams to define high-level solutions, data flows, and architectural decisions. Build strong relationships between stakeholders to remove obstacles and resolve conflicts + Backlog & Prioritization: Own and manage the product backlog across iOS, Android, and web platforms, ensuring user stories and tasks are prioritized based on business value, customer needs, and technical feasibility. Tie work items directly to OKRs and business objectives + Product Delivery: Lead cross-functional teams through the product development lifecycle, from conception to launch and beyond. Ensure products meet quality standards, acceptance criteria, and deliver measurable outcomes + Continuous Improvement: Drive continuous feedback loops to ensure teams remain focused on customer needs. Refine product backlog, participate in release planning, and facilitate agile ceremonies + AI-Driven: Lead the development of advanced AI-powered solutions, enhancing how members discover and interact with their healthcare providers. Review prototypes for new AI-powered features and analyze new opportunities within the product against the latest technology trends. Collaborate with UX research to validate the latest AI concepts. Partner with AI and ML teams to develop best in class conversational AI tools You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree or above Computer Science, Engineering, Business, or a related field + 7+ years of experience in technical product management + Experience collaborating and leading across multiple partner teams with strong systems thinking + Solid knowledge of LLM and data product lifecycle, including discovery, data processing, model development, deployment, and monitoring. Understand how to interact with LLMs through APIs, fine-tune them for specific tasks, and optimize their performance + Ability to manage multiple high stakes timelines in a fast-paced environment **Preferred Qualifications:** + Experience with working with global teams + Solid technical acumen with the ability to work closely with AI/ML teams and understand model capabilities and limitations *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline** : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

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 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. Consumer digital is looking for a senior technical product manager to guide the planning, execution, and successful delivery of initiatives across UHC's entire digital membership. Our digital experiences ensure that members find care at the right place, at the right time, with a full understanding of the impact against their benefits. The Senior Technical Product Manager is a strategic leader responsible for driving the execution of complex technical products. This role bridges the gap between engineering teams and business stakeholders, ensuring products are innovative, scalable, and delivered on time and with quality. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. during XYZ time zone business hours as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Cross-Functional Leadership: Collaborate closely with engineering, design, and business teams to define high-level solutions, data flows, and architectural decisions. Build strong relationships between stakeholders to remove obstacles and resolve conflicts * Backlog & Prioritization: Own and manage the product backlog across iOS, Android, and web platforms, ensuring user stories and tasks are prioritized based on business value, customer needs, and technical feasibility. Tie work items directly to OKRs and business objectives * Product Delivery: Lead cross-functional teams through the product development lifecycle, from conception to launch and beyond. Ensure products meet quality standards, acceptance criteria, and deliver measurable outcomes * Continuous Improvement: Drive continuous feedback loops to ensure teams remain focused on customer needs. Refine product backlog, participate in release planning, and facilitate agile ceremonies * AI-Driven: Lead the development of advanced AI-powered solutions, enhancing how members discover and interact with their healthcare providers. Review prototypes for new AI-powered features and analyze new opportunities within the product against the latest technology trends. Collaborate with UX research to validate the latest AI concepts. Partner with AI and ML teams to develop best in class conversational AI tools You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree or above Computer Science, Engineering, Business, or a related field * 7+ years of experience in technical product management * Experience collaborating and leading across multiple partner teams with strong systems thinking * Solid knowledge of LLM and data product lifecycle, including discovery, data processing, model development, deployment, and monitoring. Understand how to interact with LLMs through APIs, fine-tune them for specific tasks, and optimize their performance * Ability to manage multiple high stakes timelines in a fast-paced environment Preferred Qualifications: * Experience with working with global teams * Solid technical acumen with the ability to work closely with AI/ML teams and understand model capabilities and limitations * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.