Blue Cross and Blue Shield of Louisiana jobs - 110 jobs

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. Only applicants located in Louisiana or willing to relocate will be considered. POSITION PURPOSE Under minimal supervision (with wide latitude for independent judgment) design, develop, document, test, and debug new and existing software systems and/or applications for market sale or large-scale proprietary software for internal use. Service as technical expert on development projects. Participate in full development life cycle including requirements analysis and design. Write technical specifications based on conceptual design and stated business requirements. Support, maintain, and document software functionality. Identify and evaluate new technologies for implementation. Analyze code to find causes of errors and revise programs as needed. Participate in software design meetings and analyze user needs to determine technical requirements. Consult with end user to prototype, refine, test, and debug programs to meet needs. Accountable for complying with all laws and regulations associated with duties and responsibilities. NATURE AND SCOPE This role does not manage people This job reports to: Departmental Leadership Necessary Contacts: To do this job effectively the incumbent has to be in contact with all levels of BCBSLA personnel. QUALIFICATIONS Education Bachelor's degree in Computer Science or a related field required Four years of related experience can be used in lieu of a Bachelor's degree. Work Experience 4 years of software development experience required Must have a minimum of three years of IT experience using general development technologies (i.e., C#, SSRS, SSIS, SQL Coding, XML) or comparable computing language (i.e., .Net, BI, ERP) as approved by the hiring manager. Preferred Qualifications for IT EDI Team Only: Skill set includes 2 or more of the following: BizTalk, C#, Azure Logic Apps, Azure Data Factory, Azure Event Grid, Azure Service Bus, Azure Functions Preferred Qualifications for IT Enrollment Service Team Only: Skill set includes 4 or more of the following: C#, Azure Logic Apps, Azure Data Factory, Azure Event Grid, Azure Service Bus, Azure Functions, SSIS, SSRS, T-SQL, SQL Preferred Qualifications for EPIC Technical Operations Team Only: C#, Azure Logic Apps, Azure Data Factory, Azure Event Grid, Azure Service Bus, Azure Functions, SSIS, SQL, X12 EDI, FHIR, API creation Preferred Qualifications for IT Provider Team Only: Skill set includes 4 or more of the following: C#, Azure Logic Apps, Azure Data Factory, Azure Data Bricks, Azure Service Bus, Azure Functions, SSIS, SSRS, FHIR, API Service, SQL Skills and Abilities Ability to think strategically, balance long and short-term priorities. Requires the knowledge and ability to analyze and solve complex, logical problems Ability to establish and maintain a high level of trust and confidence with clients; establish strong working relationships with business and technology partners at all levels; exercise sound judgment; collaborate effectively with peers, subordinates and superiors Must understand and have experience in all aspects of the software development lifecycle (SDLC) Ability to multitask and prioritize a heavy workload in a fast paced, dynamic environment Understanding of business operations and key business drivers (or aptitude to develop understanding quickly) The candidate must be flexible in terms of working practices as the role requires on call rotation which might include some evening, weekend and holiday work Licenses and Certifications None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Gather information from stakeholders to document functional, system, and data requirements Assess available technologies and create detailed technical specifications or data models for development of new or modifications to existing internal applications or systems Designs, codes, tests, maintains, trouble shoots, and documents on new or existing core administration integrated information systems with moderate supervision at various levels of complexity to maintain quality enterprise business solutions of application architectures Produces quality enterprise information systems of application architectures that meet or exceed client expectations on operations and strategic projects Develops and maintain internal systems or applications involving various programming languages Maintains existing applications by fixing defects, adding new functionality, and upgrading components Performs testing, analysis, and debugging on applications and systems to identify and fix problems Uses development specifications to create detailed test cases. Analyze results of testing to ensure technology solution matches the organization's business needs Trains or contribute to training of stakeholders and evaluate the effectiveness of implemented technologies Researches and remain informed of new technology and development tools Provides support to the testing team on an as needed basis Documents system problems and resolutions for future reference Provides technical support and troubleshooting assistance on software application related issues Maintains configuration management Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

The Category Management Advisor is responsible for procuring consulting and professional services for the Information Technology organization. This role partners with leading technology consulting firms to support multiple lines of business. The advisor manages competitive sourcing processes and guides stakeholders in selecting the most suitable suppliers and solutions to meet business objectives. Success in this position requires expertise in navigating dynamic requirements aligned with strategic business and IT goals. The advisor must be adept at engaging suppliers and influencing stakeholders across various management levels to achieve optimal outcomes. Key Responsibilities Draft, redline, and negotiate master service agreements (MSAs) and statements of work (SOWs) with robust information protection provisions. Negotiate and execute MSAs with technology service providers, ensuring compliance with Cigna's contractual standards to minimize corporate risk. Establish and maintain supplier performance measurement and reporting mechanisms. Analyze business requirements, supplier relationships, and processes to enhance performance and deliver greater value. Recommend sourcing strategies, process improvements, and supplier relationship models for enterprise-wide adoption. Evaluate supplier market rates and historical cost trends to negotiate consulting rate cards and role definitions. Develop timelines and coordinate cross-functional teams to implement sourcing strategies and initiatives. Oversee day-to-day execution of sourcing and contracting processes, leveraging subject matter experts as needed. Collaborate with business stakeholders to develop RFPs and supplier evaluation tools. Formulate negotiation strategies, including detailed financial analyses to benchmark costs against market standards. Lead negotiations in partnership with business teams and Supply Chain Management leadership. Monitor and report progress against sourcing objectives and performance metrics. Qualifications Bachelor's degree strongly preferred, ideally in Business, Supply Chain, Information Technology, or a related field. Proficiency with SAP Ariba (or similar source-to-pay and contracting platforms) and Oracle financial systems; experience with Icertis or other contract lifecycle tools is a plus. Exceptional communication, facilitation, and leadership skills with the ability to influence and motivate cross-functional teams. Strong organizational and time management skills with attention to detail. Advanced analytical skills and financial acumen. Proven ability to solve complex problems and make sound decisions in dynamic, fast-paced environments. Skilled in articulating solutions to senior executives and driving alignment on strategic initiatives. Demonstrated ability to apply fact-based negotiation principles and perform total cost analyses to support ROI decisions. Expertise in market and industry analysis, including cost structures and strategic implications of industry trends. Commitment to enterprise vision, values, and goals. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Home Infusion Registered Nurse - Accredo Specialty Pharmacy Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes. As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team. For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others. How you'll make a difference and improve lives: Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health. Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes. Provide follow-up care and manage responses to ensure their well-being. Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey. Requirements: Active RN license in the state where you'll be working and living 2+ years of RN experience 1+ year of experience in critical care, acute care, or home healthcare Strong skills in IV insertion Valid driver's license Willingness to travel to patients' homes within a large geographic region Ability to work 32 hours a week (can include days, evenings, and weekends, per business need) Flexibility to work different shifts on short notice and be available for on-call visits as needed If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

As a Strategic Account Executive, you are the face of Cigna to the client. Your focus is on spending time with clients in person to cultivate the relationship, addressing client issues, selling annual renewal rate increases in addition to new products and services to expand the relationship. You will be the trusted advisor and go-to partner for your clients, helping them navigate their business challenges and opportunities by offering strategic insights and ensuring an exceptional client and customer experience. Key Responsibilities: Client Partnership: Act as a key influencer and trusted advisor, cultivating strong, personal relationships with decision-makers and other key stakeholders. Industry Expertise: Deeply understand your clients' businesses, their industries, and their unique challenges. Continuously learn and adapt, offering tailored recommendations that address both their immediate needs and long-term goals. Relationship Building: Engage at all levels with both decision-makers and those who influence the decision-making process, ensuring Cigna's voice is heard and valued. Market Insights: Keep clients informed about the latest industry trends, helping them stay ahead of the curve and leveraging Cigna's solutions to meet their evolving needs. Financial & Underwriting Expertise: Strengthen your understanding of financials and underwriting to guide clients in managing their costs. Demonstrate the value of Cigna's solutions, including specialty products, and offer creative, proactive solutions to meet their needs. Portfolio Management: Drive growth, earnings and retention across your client portfolio, meeting targets for both new business and renewals. Work to expand Cigna's relationships through cross-selling additional products and services. Collaboration: Work closely with underwriting teams to ensure alignment, build trust, and ensure clients receive tailored, strategic solutions. Client Experience: Oversee client service requests, ensuring seamless execution and swift resolution by directing them to the right team for problem-solving. Channel Management: Manage key partner relationships to ensure client budgets align with reality, holding internal partners accountable and leveraging resources as needed to maintain success. What You Bring: Strong relationship-building skills and a passion for developing deep client connections Expertise in financials, underwriting, and providing strategic solutions A collaborative mindset with the ability to work effectively across teams Proactive, creative thinking to develop tailored solutions for each client A desire to grow with a company that's committed to delivering innovative solutions in an ever-changing industry At Cigna, we value people who bring both strategic insight and a hands-on approach to client management. If you're driven by client success and want to work for an organization that values both innovation and personal relationships, we want to hear from you! Qualifications Bachelor's degree or equivalent experience. Experience: 3+ years of experience in health benefits or client management Skills: Strong communication, sales negotiation, and relationship-building skills. Proven ability to manage and grow client relationships, particularly with clients Experience in sales, marketing, underwriting, or operations is preferred. Financial acumen with the ability to identify and drive growth opportunities within the book of business. Additional: Demonstrated success in managing large, complex client accounts with a focus on relationship-building and revenue growth. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This position is eligible to work from home anywhere in the United States** Essential Functions: Investigates and evaluates medical only (MO) claims within multiple jurisdictions Reviews the claim notice and policy to verify coverage, deductibles, compensability, and jurisdiction compliance Initiates prompt contact with customers to obtain information and explains the claim process Makes timely contact with insureds, injured employee(s), and witnesses when necessary and documents calls, and activities undertaken within the claims system Confirms return to work status with insureds Confirms appropriate medical care, including use of appropriate cost containment techniques and resources, and takes appropriate actions Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology Provides prompt, detailed responses to agents, insureds, and injured employee on the status of claims Escalates claims to their people leader as appropriate Maintains accurate and timely diaries on all files to handle claims and bring a resolution Completes state reporting as required within jurisdictional guidelines Secures all the necessary reports, claims forms and documents Documents claim handling activity via claim notes, including Medicare (MSP) modules in the claims system Drafts and sends denial letters upon manager approval Issues timely payments within check authority limit Submits referrals to Medical Management and Medical Review Units as appropriate Markets OnCall Nurse (OCN), Return to Work (RTW), Select Preferred Provider (SPP) to insured's and identifies non-use for corrective measures Prepares risk reports for Underwriting Assists Claims team members with the handling of claims as needed Attends internal and external training and self-study to keep abreast of changes relating to medical treatment, and jurisdictional and statue changes impacting workers compensation benefits Completes ongoing continuing education to remain compliant with jurisdictional licensing requirements. Education & Experience: Associate degree or equivalent relevant experience One year of insurance or claims handling experience or related experience Bachelor's degree may be considered in lieu of the experience requirement Attainment of all applicable state licenses within six months of hire Knowledge, Skills & Abilities: Basic knowledge of claims adjusting process preferred Good knowledge of computers Good investigative and problem-solving abilities Ability to multi-task and prioritize deadlines Strong organizational, written and verbal communication skills Strong customer service skills Ability to adhere to high standards of professional conduct and code of ethics Ability to maintain confidentiality The hiring salary range for this position will vary based on geographic location, falling within either of the following: $46,990 - $64,911 or $51,927 - $64,911 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.

Disney Mental Health Concierge Organizational Engagement and Strategy Consult with managers regarding important workplace issues: including, but not limited to, grief and loss in the workplace, job appropriate behaviors, employee/cast member terminal illness impacts and leadership support. Facilitate critical incident response by consulting with requesting manager and direct service providers to arrange appropriate clinical services, including onsite services. Work closely with EAP providers. Educate EAP providers regarding EAP protocols and expectations, and monitors compliance to standards. Co-create and execute on engagement campaigns/promotion in collaboration with broader Evernorth/Cigna. Cast Member Engagement & Navigation Primary point of contact and deployment for critical incident occurrences. Collaborate with Matrix Partners to obtain necessary information to provide the most appropriate resources. Provide onsite, virtual, and in-person navigation to emotional well-being resources, including EAP referrals, appointment setting assistance, provider searches, work/life programs, health coaching, case management, behavioral case management, etc. Provide psychological first aid, assessment, and intervention for crisis situations as needed. Ensure the appropriate next steps are put in place for referrals into medical, pharmacy or behavioral coaching programs, in addition to any alignment with a behavioral provider Provide follow-up to all Cast Member connections that take place. Identify and address SDOH needs such as food, housing medication, and transportation. Assist in connecting Cast Members with identified community resources to meet their needs. Work closely with Cast Members and Employees to ensure they have the support system they need to recover from their specific need, illness, or injury. May facilitate and lead manager and employee mental health trainings. Provide on-call and on-site services as needed. Expected to be available via email, text, or phone. General Expectations Culturally trained on Disney Organizational, Cast Member and Employee roles and responsibilities, benefits, programs, and inventory of resources. Will work on-site in Walt Disney World Park and be deployed to various locations as needed. Will be available to all team members, for consultation. Perform additional tasks/projects as needed, requested or assigned. Attend all required trainings. Comply with all Evernorth Behavioral Health policies and Standard Operating Procedures. Take initiative for continued professional development. Work closely with the Disney Account Team, Health Coaches, Case Managers, Onsite EAP providers, EACs, Behavioral UM and CM teams to align on cases and hand off appropriately as needed. Will work directly with Disney Human Resources and Employee Relations teams as needed. Consult with Cigna/Evernorth clinical supervisor when needed. Open to suggesting and implementing improvements and enhancements to Mental Health Concierge role and responsibilities. Qualifications Current unrestricted independent licensure in a behavioral health field or a medical field with experience in a psychiatric setting (LCSW, LMFT, LPC, LPCC, Licensed Psychologist or RN) Master's Degree in Behavioral Health field Knowledge and experience in accessing community resources to help cast members with basic needs. Certified in Mental Health First Aid CEAP (certified employee assistance professional) required to obtain within 2 years of employment. 3+ years post-license mental health experience preferred 3+ years experience responding effectively to diverse situations while working across all organizational levels. Excellent communication and interpersonal skills with a focus on customer service Effective conflict management and negotiation skills Ability to adapt to change and problem solve Strong time management and organization skills with an ability to set priorities in a fast-paced environment Ability to utilize and navigate multiple technology systems Bilingual in Spanish or Haitian Creole preferred Knowledge of managed care preferred If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. This position can be performed remotely anywhere in the U.S. Essential Functions: * Leads and manages a specialized casualty Risk Control team that serves as subject matter experts (SMEs) on casualty risks, perils, exposures and protection methods * Develops and implements casualty specific plans, strategies, and tactics to support profitability and growth goals, through collaboration with Corporate Office Underwriting, field operations leadership, field leadership, and Claims * Provides input and feedback and makes decisions regarding various department, field risk control, and underwriting initiatives and projects, ensuring department executes on established strategies * Proactively reviews EMC's book of business and claims trends, and collaborates with Corporate Office Underwriting, including making recommendations for changes or improvements, on new programs, underwriting appetite, and underwriting guidelines and strategy relating to casualty * Serves as the technical lead for corporate office risk control as well as underwriting as it relates to casualty risk control matters * Supports broader service efforts by developing the casualty loss control strategy at EMC, ensuring alignment with the strategic direction of Underwriting * Leads the partnership of corporate and field risk control leadership to ensure a collaborative and comprehensive approach to casualty risk assessments, exposure identification, sprinkler system design/coverage, casualty conservation service delivery, proposed solutions, and exposure mitigation for the EMC portfolio * Identifies, develops, and manages meaningful partnerships with industry associations to maintain subject matter expertise within casualty risk control and keep an industry presence * Maintains knowledge of industry trends and emerging technologies that impact profitability and growth on the casualty line of business * Drives the innovation focus for Risk Control casualty line of business, fostering culture of creativity and forward-thinking solutions * Ensures alignment with organizational goals and spearheads the adoption of cutting-edge technologies and methodologies with regard to casualty focused matters * Oversees the development and implementation of casualty risk control performance metrics to ensure the effectiveness of initiatives and drives continuous improvement and evaluates the metrics on an ongoing basis * Oversees and monitors the workload and performance of the Casualty Technical teams within Risk Control, and performs all duties expected of a people leader at EMC * Other duties as assigned Education & Experience: * Bachelor's degree, preferably in safety, engineering, industrial safety, fire protection, or related field, or equivalent relevant experience * Ten years of progressively responsible experience with loss control, safety, engineering, or related experience, including prior experience in casualty loss control * Related master's degree or relevant market certifications/designations preferred, such as Certified Safety Professional or CPCU Knowledge, Skills & Abilities: * Excellent knowledge of industrial, construction, and fire protection safety * Excellent understanding of various nationally recognized standards and codes, such as NFPA, International Code Council, OSHA, DOT, FMCSA, 29 CFR 1910 & 1926, ANSI * Exceptional proven ability to identify and visualize potential loss exposures * Superior customer relation skills * Excellent verbal and written communication skills, including presentation skills * Excellent leadership qualities with the ability to motivate team members * Strong ability to work strategically and collaboratively across departments * Excellent ability to translate data into actionable steps * Ability to maintain confidentiality * Occasional travel required; a valid driver's license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $118,603 - $170,001 or $130,774 - $187,434 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.

Up to $2500 sign on bonus paid out over a 12 month period based on shift. Hours: Varied Mon-Thur 4 X10 hr shift and Mon-Fri 8 hour shift Are you ready for a new job that allows you to make an impact and improve the lives of others? Join our dynamic team as a Pharmacy Packaging and Shipping Associate! In this crucial non-patient-facing role, you will be responsible for picking and packing medications, labeling them for shipment, and sorting by shipping carrier and destination. This position offers an excellent opportunity to develop skills in logistics, inventory management, and pharmaceutical handling. Using a high level of attention to detail, as well as your organization, time management, and problem-solving skills, you'll help ensure the accuracy of each prescription order for each patient we serve. For more than 30 years, Accredo Specialty Pharmacy has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on patient lives. How you'll improve the lives of others: Dispense and pack prescriptions in preparation for shipment Copy, fax, and process prescriptions Follow-up with patient issues Data entry and reference database as needed Requirements: Basic math skills General computer skills General computer program knowledge including Microsoft Office and use of the internet and email Flexibility to adapt to a dynamic work environment; willingness to work a flexible schedule when needed Ability to lift 40 pounds Effective communication skills both written and verbal HS diploma or equivalent required. Why Choose Us? Behind-the-Scenes Role Focus on operational and logistical tasks without direct patient interaction. Skill Development: Gain valuable experience in a growing field with opportunities for professional growth. Collaborative Team: Work with a supportive team to ensure the accurate and timely delivery of medications. Meaningful Impact: Play a vital role in the healthcare system by ensuring patients receive medications promptly. Work-Life Balance: Enjoy flexible working hours and a comfortable, controlled work environment. Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation. Comprehensive Health Coverage from Day One (including medical, dental, vision). Robust 401K Plan with Company Match. Join us in shaping the future of pharmacy operations while enjoying a supportive and enriching work environment that fosters professional growth and fulfillment. If you are detail-oriented, enjoy working in a non-patient-facing role, and are passionate about contributing to patient care indirectly, we encourage you to apply! If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This position is eligible to work from home anywhere in the United States** Essential Functions: Reviews and processes endorsements within specified rating authority. Updates appropriate information based on line of business authority, including updating VIN numbers and increasing deductibles or liabilities limits. Contacts agents for basic information to complete an endorsement as needed. Processes cancellations and reinstatements. Assists in entering rating information into the rating system to provide quotes and to issue policies for new business and renewals within authority and by instruction of underwriters. Enters information into rating system including larger schedules and updates information. Performs support duties for branch departments, including ordering reports and obtaining information for new and existing business. Complete bulk update and projects when received from corporate departments. Completes rating trainings and learning courses. Consults experienced rating associates to ask questions and gain understanding in rating processes and procedures. Education & Experience: High school diploma or equivalency One year of office support experience preferred Knowledge, Skills & Abilities: General knowledge of insurance terminology preferred Good computer skills with proficiency in Microsoft Word Excellent communication and human relations skills Strong organizational skills Excellent customer service skills #DNP The hiring salary range for this position will vary based on geographic location, falling within either of the following: $36,270 - $47,583 or $38,063 - $52,44 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. This position is eligible to work from home anywhere in the United States Essential Functions: * Leads, researches, and coordinates the strategy execution, day-to-day administration and/or development of assigned program at enterprise level * Serves as the subject matter expert for assigned program, providing strategic direction across the business unit * Develops comprehensive program strategies and implementation plans to ensure successful execution at the organizational level * Collaborates across functional teams, including line of business (LOB) leaders, actuarial, Loss Control, and claims teams to refine existing coverage offerings and design new coverage solutions for established programs * Oversees the formulation of short- and long-term strategies and underwriting initiatives within the program, aligning with enterprise-wide objectives to drive business growth and profitability * Maintains primary responsibility for profit and loss management within the assigned program, developing and maintaining the program's business plan to ensure financial stability and success * Establishes and communicates best practices and underwriting guidelines fostering consistency and excellence in underwriting operations * Conducts detailed analyses of premium and loss data, along with other key financial reports, on a monthly and quarterly basis to support sustainable and profitable growth * Proactively advises and collaborates with management, providing recommendations for strategic improvements to meet organizational goals and enhance underwriting outcomes * Drives innovation through the development of new product concepts, evaluation of existing offerings, and refinement of coverage language to optimize market competitiveness * Assesses the cost-benefit implications of market opportunities and product initiatives, recommending data-driven actions, including product enhancements, to strengthen the enterprise's market position * Evaluates complex underwriting risks and provides analysis and guidance to the specialty underwriting team in determining the acceptability of business * Assesses coverage, limits, and pricing on complex accounts and provides underwriters with authorizations on accounts above their authority * Provides leadership in the strategic research, administration, development, and continuous optimization of new business unit programs, ensuring alignment with organizational objectives and industry best practices * Identifies market opportunities, analyzes competitive positioning, and develops program enhancements to drive sustainable growth and profitability. * Leads efforts to refine underwriting frameworks, policy structures, and risk assessment methodologies to enhance the effectiveness and efficiency of business unit operations * Engages in extensive cross-functional collaboration with key stakeholders, including line of business (LOB) leaders, actuarial, Loss Control, and claims teams to facilitate the development of innovative programs that address emerging market demands and evolving risk profiles * Works closely with actuary teams to analyze key data trends, assess financial impact, and establish sound pricing strategies that optimize risk management while maintaining competitiveness. * Provides strategic direction to claims teams to ensure alignment between coverage offerings and claims management practices, fostering consistency and operational excellence * Acts as a key advisor to senior leadership, offering insights and recommendations to support enterprise-wide decision-making related to new program development and strategic growth initiatives * Partners with and provides underwriting expertise to departments within the company, including organizing and assisting in preparation and teaching of underwriting workshops and seminars for underwriting teams * Acts as a speaker or instructor for internal training exercises or meetings, and provides input or prepares articles, white papers, and underwriting bulletins on complex issues * Reviews insurance publications and keeps current on issues by attending seminars and participating in formalized continuing education * Represents the Specialty Business unit and EMC on various committees and events as appropriate and approved * Partners with the Quality Assurance (QA) team to design, establish, and implement comprehensive internal auditing procedures, ensuring alignment with organizational standards and regulatory requirements * Engages in strategic collaboration with underwriting (UW) leadership to assess team performance, identify areas of strength and opportunities for improvement, and develop structured initiatives to drive meaningful change and enhance operational efficiency Education & Experience: * Bachelor's degree, preferably in a business or insurance related field, or equivalent relevant experience * Ten years of commercial property and casualty underwriting including at least five years of staff underwriting experience in specialty program or related experience * Experience in the West territory strongly preferred (ID, UT, AZ, NV) * Insurance designations, such as CRIS, AU, CIC, or CPCU preferred Knowledge, Skills & Abilities * Advanced, proven knowledge of countrywide underwriting techniques, terminology, policies, and forms in applicable business area * Excellent underwriting judgment and decision-making skills * Strong knowledge of key performance indicators (KPIs) and ways to improve them * Advanced written and verbal communication skills, including presentation skills * Ability to work effectively with others, as well as independently and possess demonstrated problem-solving abilities * Strong computer knowledge, Internet and keyboarding skills * Strong ability to advise, partner, influence and effectively consult with diverse internal and external stakeholders, including senior leaders, executives, and project owners * Strong ability to distill and communicate highly complex issues for technical and non-technical audiences * Strong ability to translate technical ideas into more general terms for business customers * Occasional travel; a valid driver's license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $109,818 - $157,391 or $121,061 - $173,534 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.

Are you passionate about using data to make a difference in healthcare? At Evernorth, we believe that smart, compassionate experts can unlock new possibilities for patients and communities. As a Market Insight Senior Analyst, you'll help shape the future of healthcare by turning complex data into strategies that drive innovation and improve lives. If you're ready to grow, collaborate, and make an impact, we invite you to join our ambitious team. Responsibilities Collaborate with cross-functional teams to uncover opportunities and deliver impactful research insights. Translate data into clear, actionable recommendations that inform strategic decisions. Develop reproducible analytical solutions using tools like R, Python, and SQL to address business and research challenges. Create compelling reports, visualizations, and presentations that communicate findings effectively. Drive continuous improvement in data analytics practices and governance. Qualifications Required: 1+ years of applied healthcare research experience. Proficiency in statistical programming (SAS, R, STATA, or similar) and SQL. Experience working with large healthcare datasets, including medical and pharmacy claims. Strong communication skills and ability to convey complex insights clearly. Preferred: Bachelor's degree in a quantitative or social sciences field (such as epidemiology, public health, or health economics). Master's degree or higher in a related field. Experience with real-world data (RWD) and real-world evidence (RWE). Knowledge of medical coding schemas (ICD, CPT, HCPCS, NDC, SNOMED). Familiarity with data visualization tools and best practices. At Evernorth, we are driven by curiosity, compassion, and a commitment to excellence. If you are excited to use data to make a real difference and want to grow as a leader in healthcare research, we encourage you to apply and help us build a healthier future for everyone. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Are you ready to lead and innovate in z/OS mainframe environments? Join us as a DB2 Systems Programmer and become the go-to expert for all things DB2 Related. You'll drive strategic outcomes, mentor others, and ensure our enterprise systems run at peak performance. Responsibilities * Install, customize, support, and maintain DB2 and related products to ensure robust, secure, and high-performing environments. * Maintain baseline operations for DB2 test and production systems, proactively identifying and resolving issues. * Provide expert technical support and problem determination for both systems and applications teams, using advanced tools like IPCS and Abend-aid. * Participate in disaster recovery exercises, supporting enterprise system recovery and business continuity. * Take ownership of and resolve highly complex or critical incidents within the mainframe DB2 environment. * Consult on projects with business application teams, offering strategic guidance and technical expertise. * Support off-hours product maintenance and installs as needed, ensuring minimal disruption to business operations. Required Qualifications * Minimum 7 years of experience as a DB2 Systems Programmer in a z/OS environment. * Expert-level knowledge of DB2 internals and SMP/E product installs. * Proven ability to debug system and application dumps using IPCS and Abend-aid. * Demonstrated leadership skills; able to coach, mentor, and direct junior technical resources. * Strong interpersonal, collaboration, and team skills. * Effective oral and written communication abilities. Preferred Qualifications * Experience with z/OS, TSO/ISPF, Db2, UNIX Systems Services. * Proficiency with Tivoli-Monitoring, Omegamon and Microsoft Office products. * Programming skills in JCL, COBOL, Assembler, JAVA, MVS/REXX, ISPF Dialog. * Familiarity with network protocols: TCP/IP, VTAM, LU 6.2, APPC, FTP, TN3270. * Bachelor's degree in Computer Science, Information Systems or related field. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 120,800 - 201,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Part time - Per Diem - Onsite Health Coach - Miami FL Bilingual Spanish strongly preferred Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live. Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. Evernorth Workplace Care - Personalized Care Where You Are Our experienced Health Coach will: • Provide onsite face-to-face customer coaching and support • Identify customer health education needs through targeted health assessment activities. • Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. • Empower customers to become an active participant in their own health outcomes. • Assist Customer in overcoming barriers to better health • Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. • May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. • Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. • Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. Qualifications: • Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion • Bachelor's degree in a health-related field. Master's degree preferred. • Registered Dietitian licensed in respective state is preferred • CPR/BLS certification through the American Red Cross or American Heart Association is required. • High energy level, with dynamic presentation skills is required. • Positive role model in demonstrating healthy behaviors • Passion for health improvement • Ability to work independently • Customer-centric focus • Ability to proactively collaborate professionally with the client and other matrix partners. • Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. • Proven administrative abilities, with strong computer and software application skills. • Bilingual Spanish is preferred Bonus points for: • CHES (Certified Health Education Specialist) • Motivational interviewing training/experience. • Smoking cessation and diabetes experience. This position is based in person, in Miami Florida. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

As a Pharmacy Technician, you'll help our 95+ million members make the most of our benefit offerings. In this role, you'll set our customers at ease by helping answer their questions and providing solutions to their problems. Above all, you'll make a real impact on the lives of others, day in and day out. Location: 4600 North Hanley, St. Louis, MO 63134 - Onsite position Work Schedules available: PM shift - Mon-Thurs - 3:30PM-2:00AM ( This shift may be eligible for shift differential) AM shift - Sunday -Wednesday - 5:00AM-3:30PM What you will do: Select and retrieve appropriate quantities of medication and prepare the labels that correspond. Works as part of a team in resolving requests in Pull Department, Pull Rx, Letter processing, and Controls exception across ESI as needed. Pull Department responsibilities require walking, standing, and repetitive up and down lifting of boxes weighing 35lb and repetitive pulling of prescriptions 95% of the work time. Pull Rx responsibilities will include pull, copy, fax, and processing. Letter processing will need to provide data entry, type customer service notes, and own total member correspondence. Controls exception will include data verification, QA, and exception processing. Adhere to strict HIPAA regulation especially when communicating to others outside of Express Scripts. All team members will be expected to work as per Policies and Procedures (P &P) and Work Instructions with onsite or offsite departments, internal or external to the company as directed. The weights listed in Essential Functions will vary as size and needs of the department change. All team members are expected to work with Supervisors and Management to cross-train and develop proficiency across all functional areas of the job. Process letter requests by manual or automated databases, typing customer service notes in system, pulling Rx, and processing member correspondence. Pull requests, rescan, and work with RPh to obtain appropriate documentation to resolve request. Controls work includes data input / validation, Quality Assurance (QA), Prescriber and Patient outreach, and working with RPh and Pharmacy per work instructions, P&P, management direction, or any national or state regulations. Participate in Lean and Continuous Improvement efforts internal and external to the department. Perform all QA tasks as identified. Complete and process data for reporting needs. Prepare and organize work for storage both on and offsite. What you will need: HS Diploma or GED required. Valid MO Pharmacy technician license registration required. Minimum of 1 year of relevant experience as a Pharmacy Technician. Certified Pharmacy Technician or NHA preferred. Strong computer skills Word and Excel. Self-motivator with strong organizational skills, attention to detail, and exceptional time management skills. Effective written and oral communication skills. What we Offer: Health coverage effective day 1 (including medical, dental, vision). 401(k) plan with company match. Holiday Pay and Paid Time Off. Education/Certification Program (Grow to Thrive). Career Growth and Advancement opportunities. Physical Requirements: Stand for lengthy periods Lift up to 50 lbs. occasionally and 20 lbs. frequently Perform repetitive motion with fingers, hands, and arms Work may be in confined areas close to machinery Work may be performed in an environment with varying levels of noise If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. G.E.H.A has one mission: To empower federal workers to be healthy and well. The Director of Pharmacy Health Plan will guide and improve our Federal Employee Health Benefit (FEHB) and Postal Services Health Benefits (PSHB) environment as market, member, and regulatory needs change. We are looking for a strategic Health Plan Pharmacy leader to manage delegated PBM contract oversight (inclusive of utilization and formulary management), oversee clinical initiatives and programs (Medication Therapy Management, HEDIS/Quality) and monitor disputed claims processes. This leader will also partner closely with the VP of Pharmacy and other enterprise leadership to drive business outcomes and meet regulatory, affordability, clinical quality, and corporate goals. In this role, your leadership will: • Evolve our pharmacy management model by partnering with stakeholders and vendors to better outline the total cost of care capabilities. • Collaborate with internal and external partners to achieve business goals aligned with short-term and long-term strategies. • Empower others to support G.E.H.A in improving member experience and growth.SKILLS In this role, you will do: Pharmacy Strategy & Operations Oversight Set strategic direction for program development, achieving appropriate outcomes and business performance measures related to access, affordability, quality, and experience, including business performance, clinical pharmacy operations, PBM and vendor oversight, utilization management, and formulary. Ensure operational excellence of the pharmacy benefit program at G.E.H.A. Partner with internal stakeholders regarding clinical programming, product development, benefit design, and vendor negotiations. Manage department staff (clinical and non-clinical) performance, development, and succession planning. Foster departmental development and ensure high performance to support the organization's mission and strategic goals. Lead cross-functional initiatives with internal and external partners to improve pharmacy program efficiency and innovation. PBM Contract Oversight & Performance Management Day to day management of the commercial PBM and Medicare Part D / EGWP administrator relationships for the FEHB and PSHB lines of business. Analyze and track PBM performance against key performance indicators, ensuring alignment with corporate goals. Oversee changes in pharmacy benefits implemented by the PBM, ensuring compliance and strategic alignment. Regulatory Compliance & Accreditation The role ensures compliance with all relevant contracts, accreditation criteria, and federal regulations, including those from OPM for Federal Employee Health Benefits (FEHB) and Postal Services Health Benefits (PSHB) along with those for CMS for Medicare Part D / Employer Group Waiver Plan (EGWP) through our administrator. Monitor and interpret the CMS and OPM landscape, implement OPM Carrier Letters, develop policies and procedures to maintain compliance, and partner with the GEHA Compliance teams to provide documentation and notification of compliance initiatives. Financial & Clinical Program Leadership Lead the development and execution of financial strategies for drug pricing, discounts, rebates, and reimbursement to optimize plan cost savings. Oversee department budgetary aspects of the pharmacy department, ensuring fiscal accountability and cost-effectiveness. Collaborate with teams across the clinical division to implement clinical programs that enhance quality, patient safety, and medication adherence. Requirements Licensed pharmacist (PharmD) required. 10+ years of experience in managed care pharmacy, pharmacy benefit management, or the PBM industry. 5-7+ years of experience managing PBM relationships and contracts. 5+ years in leadership roles with a focus on operational and strategic oversight. Expertise in formulary management, utilization management, and regulatory compliance in both commercial and government programs. Preferred Qualifications An advanced degree (e.g., Master's in Healthcare Administration or Business Administration) is preferred. Knowledge of FEHB federal benefits and Medicare Part D / EGWP regulations. Strong problem-solving and decision-making skills. Proficiency in data analysis, financial modeling, and performance metrics. Ability to manage multiple initiatives and meet deadlines in a demanding environment. Excellent verbal, written, and collaboration skills. Experience with accreditation standards and regulatory compliance frameworks. Demonstrated ability to lead cross-functional teams and drive organizational change. Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $174,632 - $220,920 USD. At G.E.H.A, the current maximum salary for this role is $246,168 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

Role Snapshot The Internship Program with WPS Health Solutions is comprised of two key components. The first component involves gaining practical experience to supplement academic coursework and prepare for future career pursuits. This will be comprised of a hands-on role within a functional area related to a relevant field of study. Each internship incorporates responsibilities and tasks which support the business objectives and client service offerings, while providing ongoing collaboration with experienced departmental colleagues and exposure to "real world" business demands. The second element centers on exposure to corporate culture and professional development. Interns will participate in discussions focused on building soft-skills and business acumen. This intern will assist in accepting and reviewing Medicare cost reports in accordance with government requirements for the Centers for Medicare & Medicaid Services (CMS) to ensure accurate reporting of statistical and financial data reported. This role has a direct impact on confirming the US Tax funded Medicare program is working efficiently and is cost effective. Start Date: June 2026 Pay Rate: $20.00/hr. This role is a remote role. We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin In this role you will: Shadow team members to observe day-to-day accountabilities and gain insights into industry practices, processes, and techniques. Review Medicare cost reports to determine if the report is deemed acceptable based on the criteria provided. Review cost reports to determine appropriate interim payments due to the provider based on the criteria. Review cost reports to determine final payment due to/from the provider based on the criteria. How do I know this opportunity is right for me? If you: Are interested in healthcare and want to understand how Medicare and government-funded programs work from a financial and regulatory perspective. Have an analytical mindset and enjoy reviewing detailed data to ensure accuracy and compliance with strict regulations. Are passionate about making an impact on a program that directly benefits millions of people through efficient and cost-effective healthcare services. What will I gain from this role? Gain practical experience in reviewing and analyzing Medicare cost reports, learning the ins and outs of government reporting requirements and compliance. Develop a deeper understanding of how Medicare works and the critical role it plays in providing healthcare to millions of Americans, including its financial and operational aspects. Enhance your skills in auditing, financial analysis, and data review, with exposure to the specific regulations and standards set by the Centers for Medicare & Medicaid Services (CMS). Minimum Qualifications Be currently pursuing a degree in higher education or recent graduate. Have experience with Microsoft Office (i.e., Word, Excel, Outlook, etc.). Preferred Qualifications Currently pursuing a degree in Business Administration, Finance, Economics or related field. Remote Work Requirements Wired (ethernet cable) internet connection from your router to your co High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.

As the Supervisor of Patient Care Coordinators, you will guide a dedicated team that supports patients throughout their specialty therapy journey. You will oversee daily workflows, foster a culture of collaboration and service, and ensure high‑quality, patient‑centered communication. Your leadership will help strengthen operational performance, enhance the care experience, and support continuous improvement across the department. Responsibilities * Supervise daily operations by assigning tasks, supporting staff, monitoring workflow outcomes, and reporting key updates to leadership. * Maintain expertise across functional areas including onboarding, insurance verification, patient care coordination, patient advocacy, and support services. * Develop work schedules, implement departmental guidelines, lead staff meetings, and communicate updates on internal processes and contracts. * Lead recruitment, hiring, onboarding, training, and competency development to maintain a skilled and engaged workforce. * Evaluate employee performance, provide coaching, conduct performance reviews, and recommend corrective actions when necessary. * Ensure productivity standards, regulatory requirements, and accreditation expectations are consistently achieved. * Serve as a resource for staff, supporting problem resolution and addressing questions related to intake workflows. * Model organizational competencies and behaviors in all leadership activities. * Perform other duties as assigned to support patient care and operational efficiency. Required Qualifications * High school diploma or GED. * Strong leadership, communication, and organizational skills. * Ability to manage competing priorities and support team performance in a fast‑paced environment. Preferred Qualifications * Bachelor's degree or equivalent experience. * One year of leadership experience in a healthcare or professional environment. * Proficiency with Microsoft Office and related systems. * Strong decision‑making, time‑management, and conflict‑resolution skills. * Knowledge of medical terminology. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

We are seeking a strategic and experienced Legal Compliance Manager of Enterprise Incident Response. This role will manage privacy incidents and a team of privacy incident investigators and compliance professionals responsible for proactively researching, analyzing, and reporting on privacy incidents, including unauthorized disclosures and data breaches. This role requires advanced critical and strategic thinking to collaborate cross-functionally with business units, legal, compliance, and technology teams to identify root causes, implement corrective actions, and establish preventative measures that minimize organizational risk and drive continuous improvement. This role requires experience in investigating large incidents, seasoned judgment, diplomacy, exceptional communication skills, and a demonstrated ability to identify and resolve issues proactively. This role will report to the Director of Enterprise Incident Response. Key Duties and Responsibilities Partner with the Director of Enterprise Incident Response to implement and maintain an effective incident response program, including building cross functional partnerships with business teams to build a culture of effective and timely reporting and issue management. Lead the research, management, and resolution of privacy issues presented to the Privacy Office. Design and deliver privacy compliance training programs; perform auditing and monitoring activities to ensure ongoing adherence to regulatory requirements and internal policies. Prepare and issue required notifications to clients, business partners, and government regulators in accordance with applicable laws. Monitor the performance of the incident response program while taking appropriate steps to improve its effectiveness. Act as an advisor to the business in all aspects of incident response and other privacy-related questions (risk assessment, regulatory reporting, etc.). Serve as a subject matter expert and compliance resource for internal and external partners. Collaborate with other departments including the legal team, to direct compliance issues to appropriate existing channels for investigation and resolution. Respond to cybersecurity and privacy incidents, complaints received from customers, third parties, regulators and areas of the business. Assist with the investigation of such incidents in a consistent, uniform manner. Monitor, and as necessary, coordinate incident response activities of other departments to remain abreast of the status and to identify trends. Manage a team of Sr. Analysts responsible for handling day-to-day and large privacy incidents, ensuring thorough investigation, careful documentation, and timely resolution of incidents in a high-volume, fast-paced environment. Collaborate with Privacy Legal and Compliance Operations, IT, Cigna Information Protection, and Enterprise Risk Management, and other stakeholders to ensure coordinated incident handling and timely resolution. Partner with Cigna Information Protection team to test and execute the cyber-incident response playbook for key clients. Lead key client relationships to ensure all contractual and costly performance guarantees are met, including reporting incidents in accordance with the contract and perform ongoing daily communication with clients until incident is closed. Support strategic compliance initiatives, including internal and external audits, policy development, and employee training. Qualifications Bachelor's degree 5+ years of experience managing large privacy incidents. Healthcare and/or PBM privacy and compliance experience required Demonstrated experience leading teams and driving incident management processes. Strong analytical, communication, and interpersonal skills; proven ability to work cross-functionally and influence stakeholders. Knowledge of State and Federal breach notification laws, including HIPAA. Demonstrated competency with privacy management software and incident tracking tools. Ability to manage multiple priorities in a fast-paced, matrixed environment and adapt to evolving regulatory requirements. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 103,100 - 171,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. **POSITION PURPOSE** Guided by BCBSLA Reference Architecture & Standards, Senior Solution Architect is responsible for leading development of Architecture Solution Blueprints for all business and IT projects. Ensure sound, sustainable and economically viable design, striking the right balance between enterprise and functional needs with a focus on increased operational efficiency, reliability, predictability and long-term economic viability while reducing technical debt. Accountable for complying with all laws and regulations associated with duties and responsibilities. **NATURE AND SCOPE** + This role does not manage people + This job reports to: Departmental Leadership + Necessary Contacts: To do this job effectively the incumbent has to be in contact with:All levels of BCBSLA personnel, Blue Cross and Blue Shield Association, other Blue Plans, and a limited number of external community/industry organizations. **QUALIFICATIONS** **Education** + Bachelor's of Computer Science or other technical programs including mathematics, applied physics and or Business Administration required + Four years of related experience can be used in lieu of a Bachelor's degree. **Work Experience** + 4 years technical leadership and hands-on technology implementation to include four years' experience in software development, DevSecOps engineering, systems administration, systems architecture, data architecture or data engineering Requires advanced knowledge of Solution Architecture practice, Application Architecture practice, ALM, Software development best practices and standards, and demonstrable experience in leading business application solution design, and implementation of complex business initiatives. PREFERRED QUALIFICATIONS: Healthcare industry experience Understanding of infrastructure and security requirements, such as HIPAA preferred. TOGAF certifications ITIL certifications Vendor Certifications **Skills and Abilities** + Must have expertise in one and intermediate knowledge in three of the following competencies:Business ArchitectureBusiness Intelligence ArchitectureInformation ArchitectureApplication ArchitectureData ArchitectureIntegration ArchitectureInfrastructure ArchitectureDigital & Digital Marketing ArchitectureSecurity ArchitectureHealthcare Core Administrative Systems (Trizetto Facets) Care & Disease Management Systems (Zeomega Jiva) Enterprise Resource Planning - Finance or Human Resources (Oracle Peoplesoft, Workday) Microsoft AzureAmazon Web ServicesDevSecOps + Must have intermediate / advanced knowledge in at least three of the following technical competencies:.NET Framework or Core, or JavaJavaScriptWeb Services / API development Informatica Power CenterMicrosoft SSISMicrosoft BizTlkSingle Page Applications / Progressive Web ApplicationsWeb site / services management and security Data ModelingData IntegrationSQLRelational / NoSql Database SystemsBig DataTableau / Power BI / Qlik + Additional advanced skills in the following areas: + Excellent interpersonal skills in areas such as teamwork, facilitation and negotiation Strong leadership skills Excellent analytical and technical skills Strong written and verbal communication skills Excellent planning and organizational skills Ability to understand the long-term ("big picture") and short-term perspectives of situations Ability to estimate the financial impact of alternatives Ability to apply multiple technical solutions to business problems Ability to quickly comprehend the functions and capabilities of new technologies Knowledge of information principles and processes Basic knowledge of financial models and budgeting Understanding of the political climate of the enterprise, and how to respond to political challenges Facilitate formal training for architects, engineers and analysts **Licenses and Certifications** + None Required **ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS** + Have Accountability and/or Responsibility to following key operational DeliverablesSolution Architecture ProcessDevelopment, and publishing of Solution Blueprint document + Ensures alignment, adherence and application of all applicable BCBSLA Reference Architecture components are properly reflected in the Solution Architecture Blueprint deliverable including Enterprise Application Architecture & Software Development Standards and FrameworksEnterprise Technical Architecture and Infrastructure StandardsEnterprise Data Architecture and StandardsAll Enterprise Architecture Roadmaps and Life-cycle Management Plans + Facilitation of deep-dive technical discussions around design and an intellectual curiosity to always keep your technical skills current while maintaining a pulse on industry trends.Defines, collects, synthesizes, analyzes and works with IT Data Analytics team to publishes all related and relevant Metrics associated with Solution Architecture practice to demonstrate increasing maturity and value.Project portfolio level review and assessment report for enterprise-level opportunities to maximize shared services and re-use Understanding business application and industry trends in relation to the Payer Market, identifying, building a business case for and socializing select and relevant innovation opportunities with likelihood of success, and performing POC as warranted Architecture SME (and designated Chair as needed) for Architecture Review Board (ARB) and facilitation of review, impact analysis, documentation, recommendation and formal publication of BCBSLA Technical Standards and measurement of adherence to these Standards.Provide architectural leadership for development efforts by integrating various technologies such as web applications, relational databases, information security, servers, networking, etc.Provide high-level analysis and design reviews to solve conceptual problems and avoid duplication of efforts of same errors within different applications.Work with vendors to integrate their technologies within organization's structure.Evaluate new technologies and recommend extension, expansion, and update of technology standards, practices, and methodologies.Mentoring engineers and analysts **Additional Accountabilities and Essential Functions** _The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions_ + Perform other job-related duties as assigned, within your scope of responsibilities. + Job duties are performed in a normal and clean office environment with normal noise levels. + Work is predominately done while standing or sitting. + The ability to comprehend, document, calculate, visualize, and analyze are required. **An Equal Opportunity Employer** **All BCBSLA EMPLOYEES please apply through Workday Careers.** PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) **Additional Information** Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. _Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._ _Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results._ **JOB CATEGORY:** **IT, Telecom & Internet**