Senior data analyst- jobs in Bowling Green, KY

Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES * With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting * Extracts and compiles various sources of information and large data sets from various systems or applications * Set up process for monitoring, tracking and trending information and data using various systems or applications * Prepares well-organized, easily understood reports, analysis, and summary of findings for use by management * Assists in preparation of regularly produced reports to support executive decision-making * Researches and analyze report results identifying opportunities and trends * Works with internal, external and enterprise individuals as needed to research, develop, and document new standard reports or processes * Consolidates data from multiple sources, using industry-based tools or manually; able to process data effectively using Microsoft Excel * Supports management and other team members as requested on all things data related. * Supports Operations and Implementations of special projects * Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud, waste and abuse. * Experience working on SQL, PowerBI, databricks. * Experience on ETL , healthcare specifically claims is highly preferred. JOB QUALIFICATIONS Required Education Associate degree or equivalent combination of education and experience Required Experience 3-5 years Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $141,371 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

The Integrations Business Analyst is responsible for the analysis, design, and testing of complex system integration processes. Participate in the full lifecycle of software development including: requirements gathering, solution design, development, testing and support focus on the requirements gathering, design and testing of software. Work with end users at all business levels on training requirements for the use of existing and new applications, including writing and delivering training material as needed. This is a critical role in maintaining the cohesion between the business stakeholders and the technology delivery teams. It requires a deep and broad technology background, but this is not a development position. Participate / lead complex project design teams. Understand the project architecture and translate into efficient designs that are scalable, maintainable, and re-usable, ensuring that designs are aligned with business and technical strategy We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (****************************************** Og4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (*********************************************************************************************** . To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: *************************************************** . Skills and Requirements - Experience working with developers who were coding using .NET Core, C#, JAVA, JAVAscript, PHP, Angular, Symfony, ReactJS - Experience in solution design - Minimum of 5-10 years of experience designing and implementing complex solutions Experience with Kubernetes Administration Experience with Docker Knowledge of data governance and data management technologies and methodologies Experience with CI/CD is a plus Experience writing automated tests

Description & Requirements Maximus is looking for an experienced Data Architect to lead the design and implementation of modern, scalable DevOps solutions. In this role, you'll drive automation, containerization, and continuous delivery practices across enterprise systems. If you're a technical expert with a passion for innovation, collaboration, and building high-performing environments, join us and help shape the future of digital transformation. ***This is a fully remote position. Requires 10% travel. 100% mileage reimbursed at federal rate*** Why Join Maximus? - • Competitive Compensation - Quarterly bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - • Unlimited Time Off Package - Enjoy UTO, Holidays, and sick leave, - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities- Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Define, develop, and implement the configuration management system which supports the enterprise software development life cycle (SDLC). - Manage source code within the Version Control System (branching, sync, merge, etc.), compile, assemble, and package software from source code; mentor less senior team members in this discipline. - Work with client to perform and validate installations, upgrades, deployments, and containers. - Define and provide guidance on standards and best practices. - Develop automation scripts for build, deployment, and versioning activities; mentor less senior team members in this discipline. - Research and resolve technical problems associated with the version control and continuous integration systems. - Typically responsible for providing guidance, coaching, and training to other employees within job area. Minimum Requirements - Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience. -Database management experience preferred - M.M.I.S. experience preferred - Data conversion experience preferred -Technical leadership experience preferred -Technical oversight experience preferred #HumanServices #LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccommodations@maximus.com. Minimum Salary $ 150,000.00 Maximum Salary $ 175,000.00

Req # : 74537BR | Type: Full Time | Posted: Today | Edited: N/A | Fee: 20.00% Percentage Computed On Base Salary salary minimum: $85,000 maximum: $115,000 target: $100,000 travel: No sponsor/transfer H1B and/or H-2B: sponsor/transfer work permits industry: Retail Job Description Are you ready for an exciting career move? We''''re a fast moving $17.5 billion, Fortune 200 publicly-traded company with more than 11,000 stores and 12 distribution centers in 40 states, growing by hundreds of stores each year. We work in an energetic team atmosphere that leverages each person's strengths and maximizes potential. We are committed to attracting upbeat, talented, and motivated people who can advance our mission of "Serving Others." Dollar General is seeking a mobile application architect/developer (Sr. Systems Analyst). The Sr. Systems Analyst - Store Systems, while reporting to the IT Project Manager, will function as a senior technical resource and Subject Matter Expert (SME) for application development and design heavily focused on Mobile platforms. The Sr. Systems Analyst will consult with business users and Project Managers to identify current operating procedures, clarify program objectives, and develop detailed specifications for new applications or changes to existing applications that further company goals and will also provide technical guidance to other team members, lead projects, and manage both internal and external resources to ensure deliverables meet time and quality constraints. Duties and Responsibilities · Architects, designs and codes in conformance to company SDLC procedures and best practices. · Supports existing systems during business hours and on-call. · Acts as technical liaison between business partners and Information Technology. · Identifies technical enhancements and new development based on business needs. · Coordinates and performs user technical training. · Identifies and corrects systems flaws and/or procedural gaps. · Ensures quality of development by other team members. · Plans and tracks resources and tasks for projects. · Ensures technical direction is understood and implemented appropriately. · Mentors and guides new staff in all situations where initial and further education is needed or required. Qualifications · Demonstrable leadership skills with a record of attainment through others. · Ability to be an active participant in a team setting that drives to discovering solutions in a collaborative manner. · Ability to efficiently manage multiple efforts simultaneously with an excellent understanding of business processes and drivers. · Ability to develop high quality code that is maintainable, structured, highly organized and self-documenting while ensuring code adheres to industry best practices and DG SDLC guidance. · Ability to be flexible and efficient in time management while maintaining the ability to prioritize workload. · Skills in Project planning and tracking using MS-Project understanding of the PM process. · Demonstrable ability to hold effective meetings with above-average presentation skills. · Capable of coordinating and directing outside resources. · Excellent delegation and follow-up, with emphasis on adherence to deadlines while meeting department productivity standards. · Displays excellent written and oral communication skills and performs work with consistency, accuracy and responsiveness. · Proactively identify and communicate programming and/or design issues. · Proactively identify business issues, research options, and recommend solutions while acting as liaison with business partners and other IT departments. · Assist in determining technical direction for applications and development tools and assist in their selection and implementation. Work Experience and/or Education · A degree in Computer Science or demonstrated background included 8 or more years of relevant experience in applicable programming language. · .NET Framework, ASP.NET, VB.NET, C#, WCF, WebAPI, SQL (SQL server and Oracle), Windows Forms, Web Services, HTML5, Mobile applications development, SSIS required. · Database modeling and data architecture concepts such as OLTP and OLAP required. · Win8.1 XAML .NET and MVC design pattern Qualifications Mobile application development net framework database modeling and data architecture concept such as OLTA or OLAP Additional Information All your information will be kept confidential according to EEO guidelines.

Introduction Do you have the PRN career opportunities as a(an) Technical Analyst PRN you want with your current employer? We have an exciting opportunity for you to join TriStar Hendersonville Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare. Benefits TriStar Hendersonville Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Fertility and family building benefits through Progyny * Free counseling services and resources for emotional, physical and financial wellbeing * Family support, including adoption assistance, child and elder care resources and consumer discounts * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan * Retirement readiness and rollover services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Technical Analyst PRN where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications The Technical Analyst implements and supports facility and division desktop equipment, and is the key technical resource responding to end user desktop incidents and requests reported to the Service Desk. Problems beyond the scope of their ability or responsibility are communicated in a timely manner to senior-level support personnel. Support to other division and facility IT personnel is provided, as warranted, and participation in 24x7 on-call support is provided based on division IT staff rotation. The Technical Analyst adheres to and supports HCA IT policies and procedures, and recommends process changes that improve the implementation, maintenance and support of IT&S desktop equipment and software. Based on proficiency with PC-based equipment and cabling, the Technical Analyst can provide expanded on-site support to technical resources, if needed. * Installs and repairs facility and division IT&S equipment and software per HCA and division IT&S standards and guidelines, including but not limited to terminals, personal computers, printers, cabling, and related software products * Responds to and resolves inquiries and requests for assistance with division or facility computer systems, and provides a superior customer support experience for division and facility users * Analyzes and provides hands-on support for simple to moderate inquiries. Determines appropriate technical area or vendor to resolve the problem and coordinates with other technical areas, as needed * Logs and tracks problems; reviews problem tracking databases * Performs facility-based moves, adds, and changes (MACs), as needed * Maintains documentation for each incident or request, and escalates complex problems to the next level of support per documented procedures * Provides 24x7 on-call support based on division IT staff rotation, and carries a pager as warranted * Aids and trains users on division and facility technology * Performs preventative maintenance * Recommends process changes that improve the implementation, maintenance and support of IT&S desktop equipment and software * Effectively works with customers, Service Desk and Technical Services personnel * Participates in meetings, committees and continuing education to improve individual, departmental and organizational performance EDUCATION Bachelor's degree in information systems or healthcare related field is preferred EXPERIENCE Must have one year IT experience CERTIFICATE/LICENSE Basic certification in A+ and Microsoft Products is preferred; education and/or experience may be substituted for A+ certification Valid state drivers license and proof of auto insurance, if applicable ITG transforms healthcare and gives people healthier tomorrows. We deliver information technology strategy, support, and solutions. ITG improve and enhance patient care and business operations. We deliver services at administrative locations, data centers, and hospitals. The facilities we support are located in 20+ states and the United Kingdom. Our team works to move healthcare forward. We do this by seeking, embracing, developing, and delivering technology for patient care. HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Technical Analyst PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

What we offer * Excellent health benefits plan, which includes medical, vision and dental options * 401(k) with company match * Company profit sharing plan * Generous paid time-off and paid holidays * Paid parental leave * Company-paid mental health benefit through Headspace * 2 free on-site fitness rooms * Employee Assistance Program * Employee Resource Groups * Personal and professional development program Job Summary The Senior Financial Planning and Analysis Analyst will report directly to the SVP, Financial Planning and Analysis. They will provide support and insight to the organization in the areas of budgeting, forecasting, and long-term financial planning. You will * Support the continued development of budgeting, financial forecasting, operating plan, modeling tools, and dashboards. * Monitor performance indicators, highlighting trends and analyzing variances. * Develop complex financial models and analyses to support strategic initiatives. * Prepare materials for the CFO and other senior executives, including board decks, investor materials, and other executive updates * Improve performance by evaluating processes to drive efficiencies and understand ROI in departmental programs and operations. * Analyze complex financial information and reports to provide accurate and timely financial recommendations to management for decision making purposes. * Participate in M&A activities and acquisition integration. * Continuously develop systems and processes; evaluate current processes, identify best practices, develop plans to reach goals and implement improvements. * Provide ad hoc analytical support to influence decision making with financial perspective You have * 4+ years of FP&A experience * Corporate FP&A, Management Consulting, or Investment Banking background preferred * Experience working in franchising a plus * Ability to interact with senior leadership * Exceptional business judgment; capable of driving results with a focused, pragmatic approach * Ability to formulate strategies and identify trends through research and analysis of various data * Strong written and verbal communication skills * Database management skills (SQL) including data visualizations (e.g. Tableau). * Team player with the ability to work independently and willingness to take on challenges in a dynamic environment Education * Bachelors degree in Accounting, Finance or Economics is required. About SERVPRO For more than 50 years, SERVPRO has been a trusted leader in fire and water cleanup and restoration services, mold mitigation, construction, biohazard and pathogen remediation throughout the United States and Canada. Our 2,200+ individually owned and operated franchises are supported by our dedicated headquarters team. We strive to cultivate a professional community that respects and celebrates the things that make us unique, the things we share, and the collaborative spirit we bring to the work we pursue together. SERVPRO is an equal opportunity employer. All applicants will be considered for employment without attention to age, race, color, religion, gender, sexual orientation, national origin, veteran or disability status.

Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting + Extracts and compiles various sources of information and large data sets from various systems or applications + Set up process for monitoring, tracking and trending information and data using various systems or applications + Prepares well-organized, easily understood reports, analysis, and summary of findings for use by management + Assists in preparation of regularly produced reports to support executive decision-making + Researches and analyze report results identifying opportunities and trends + Works with internal, external and enterprise individuals as needed to research, develop, and document new standard reports or processes + Consolidates data from multiple sources, using industry-based tools or manually; able to process data effectively using Microsoft Excel + Supports management and other team members as requested on all things data related. + Supports Operations and Implementations of special projects + Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud, waste and abuse. + Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required Experience** 3-5 years **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $141,371 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Description & Requirements The Maximus DoD Cloud Information Systems Security Officer (ISSO) will work directly with the Maximus Federal Business Information Security Officer (BISO) to identify and manage implementation of security policies, standards, and procedures that support federal customers with federal requirements to include FISMA, applicable FAR and DFAR Clauses, Executive Orders, and OMB's applicable to IL5 Cloud Environments. The primary role of the ISSO will be the creation, management, and administration of a System Security Plan (SSP) to include all required artifacts needed to obtain a DISA IL5 certification and to maintain compliance with NIST 800-53 and associated NIST 800 series publications. The ISSO will be responsible for all continuous monitoring of the IL5 environment supporting federal customers and will be the SME for control management and the establishment of Inheritance which will be used to support future DoD projects Essential Duties and Responsibilities: - Performs application vulnerability assessments to identify application vulnerabilities. - Performs network vulnerability assessments to identify host vulnerabilities. - Identifies, analyzes, and prioritizes vulnerability findings. - Analyzes system configurations to identify possible security gaps andor compliance violations. - Establishes collaborative working relationships with internal resources to provide security assessments, reports, and recommendations. - Performs other related duties as assigned. Additional Duties and Responsibilities: - Create and manage System Security Plan and creation and or validation of all associated artifacts required to obtain DISA IL5 certification as well as NIST 800-53 compliance to include but not limited to a System Level Continuous Monitoring (SLCM) Strategy, HW/SW lists, Information Flow Diagrams, System Categorization Forms, System Topologies, Configuration Management Plan, Configuration Control Board (CCB) Charter, System and Services Acquisition Plan, System and Information Integrity Plan, System and Communication Protection Plan, Security Assessment and Authorization Plan, Risk Assessment Plan, Program Management Plan, Security Planning, Physical and Environmental Protection Plan, Personnel Security Plan, Media Protection Plan, Identification and Authentication Plan, Contingency Plan, Audit and Accountability Plan, Security Awareness and Training Plan, Incident Response Plan, Access Control Plan, Risk Assessment Review (RAR) and Plan of Action and Milestone (POA&M). - Liaison with Maximus Federal business units, Maximus Corporate business units, and external stakeholders to ensure all legal and contractual requirements pertaining to cybersecurity, physical security, and Information Assurance are being met. - Communicate federal requirements to Maximus Information Security Office (ISO) and advise implementation of applicable security controls and hardening standards to governance and technical teams. - Assist the BISO and ISO Team in the identification and assignment of control owners throughout the organization and continually review controls on organizationally defined periodicities. - Actively collaborate with Maximus Threat and Vulnerability Management (TVM) Team to ensure applicable technologies are compliant with defined remediation timelines and hardening standards via enterprise vulnerability management tools. Minimum Requirements - Please refer to the additional information section of the job requisition for this opening to determine clearance eligibility required. - Bachelor's Degree - 7-10 years of security or technology related experience - Professional certifications, such as Security+, CEH, or CISSP, desirable • Knowledge of IPv4 network architecture and core services - Knowledge of web application development and architecture - Knowledge of network security controls - Knowledge of vulnerability management - Experience with dynamic application security testing (DAST) tools - Experience with vulnerability management (VM) tools - Familiarity with OWASP Top 10 - Familiarity with WASC Threat Classification • Familiarity with CVE - Familiarity with NIST SP 800-53 - Experience with automated service ticketing systems - Excellent analytical, decision-making, and problem-solving skills - Ability to communicate technical information in understandable business terms - Excellent interpersonal skills, presentation skills, and verbal / written communication skills - Strong customer service abilities required. - Ability to work collaboratively with a broad range of staff. Skilled in Microsoft Office software including Word, Excel, Visio, MS Project, and PowerPoint - Ability to perform comfortably in a fast-paced, deadline-oriented work environment - Ability to execute many complex tasks simultaneously, and work as a team member as well as independently Additional Minimal Requirements: - Have a DoD secret clearance status or eligible to obtain secret clearance status. - DISA IL5 Certification Experience - Strong understanding of federal and DoD requirements to include but not limited to applicable Executive Orders, FISMA, FIPS, CMMC, NIST 800-171, NIST 800-60, NIST 800-65, SCRM, FedRAMP, DODI 8500s, 8500.2s, and 8510s. - Experience with GRC tools (eMASS, CFACTS, CSAM). - Experience developing SSP's and applicable artifacts required for A&A activities. - Experience with STIG compliance. - Experience with vulnerability management and assessment via Qualys and Tenable. - Works on complex issues where analysis of situations or data requires an in depth evaluation of variable - Exercises judgement in selecting methods, techniques, and evaluation criteria for obtaining results. - Networks with key contacts outside own area of expertise. - Develops solutions to a variety of complex problems. - Work requires considerable judgment and initiative. #c0rejobs #HotJobs1111LI #HotJobs1111FB #HotJobs1111X #HotJobs1111TH #TrendingJobs #HotJobs1125LI #HotJobs1125FB #HotJobs1125X #HotJobs1125TH EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccommodations@maximus.com. Minimum Salary $ 108,375.00 Maximum Salary $ 146,625.00

Req # : 74537BR | Type: Full Time | Posted: Today | Edited: N/A | Fee: 20.00% Percentage Computed On Base Salary salary minimum: $85,000 maximum: $115,000 target: $100,000 travel: No paid relocation: Yes sponsor/transfer H1B and/or H-2B: sponsor/transfer work permits industry: Retail Job Description Are you ready for an exciting career move? We''''re a fast moving $17.5 billion, Fortune 200 publicly-traded company with more than 11,000 stores and 12 distribution centers in 40 states, growing by hundreds of stores each year. We work in an energetic team atmosphere that leverages each person's strengths and maximizes potential. We are committed to attracting upbeat, talented, and motivated people who can advance our mission of "Serving Others." Dollar General is seeking a mobile application architect/developer (Sr. Systems Analyst). The Sr. Systems Analyst - Store Systems, while reporting to the IT Project Manager, will function as a senior technical resource and Subject Matter Expert (SME) for application development and design heavily focused on Mobile platforms. The Sr. Systems Analyst will consult with business users and Project Managers to identify current operating procedures, clarify program objectives, and develop detailed specifications for new applications or changes to existing applications that further company goals and will also provide technical guidance to other team members, lead projects, and manage both internal and external resources to ensure deliverables meet time and quality constraints. Duties and Responsibilities · Architects, designs and codes in conformance to company SDLC procedures and best practices. · Supports existing systems during business hours and on-call. · Acts as technical liaison between business partners and Information Technology. · Identifies technical enhancements and new development based on business needs. · Coordinates and performs user technical training. · Identifies and corrects systems flaws and/or procedural gaps. · Ensures quality of development by other team members. · Plans and tracks resources and tasks for projects. · Ensures technical direction is understood and implemented appropriately. · Mentors and guides new staff in all situations where initial and further education is needed or required. Qualifications · Demonstrable leadership skills with a record of attainment through others. · Ability to be an active participant in a team setting that drives to discovering solutions in a collaborative manner. · Ability to efficiently manage multiple efforts simultaneously with an excellent understanding of business processes and drivers. · Ability to develop high quality code that is maintainable, structured, highly organized and self-documenting while ensuring code adheres to industry best practices and DG SDLC guidance. · Ability to be flexible and efficient in time management while maintaining the ability to prioritize workload. · Skills in Project planning and tracking using MS-Project understanding of the PM process. · Demonstrable ability to hold effective meetings with above-average presentation skills. · Capable of coordinating and directing outside resources. · Excellent delegation and follow-up, with emphasis on adherence to deadlines while meeting department productivity standards. · Displays excellent written and oral communication skills and performs work with consistency, accuracy and responsiveness. · Proactively identify and communicate programming and/or design issues. · Proactively identify business issues, research options, and recommend solutions while acting as liaison with business partners and other IT departments. · Assist in determining technical direction for applications and development tools and assist in their selection and implementation. Work Experience and/or Education · A degree in Computer Science or demonstrated background included 8 or more years of relevant experience in applicable programming language. · .NET Framework, ASP.NET, VB.NET, C#, WCF, WebAPI, SQL (SQL server and Oracle), Windows Forms, Web Services, HTML5, Mobile applications development, SSIS required. · Database modeling and data architecture concepts such as OLTP and OLAP required. · Win8.1 XAML .NET and MVC design pattern Qualifications Mobile application development net framework database modeling and data architecture concept such as OLTA or OLAP Additional InformationAll your information will be kept confidential according to EEO guidelines.

**Introduction** Do you have the PRN career opportunities as a(an) Technical Analyst PRN you want with your current employer? We have an exciting opportunity for you to join TriStar Hendersonville Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** TriStar Hendersonville Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and family building benefits through Progyny + Free counseling services and resources for emotional, physical and financial wellbeing + Family support, including adoption assistance, child and elder care resources and consumer discounts + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan + Retirement readiness and rollover services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Learn more about Employee Benefits (************************************************************************** **_Note: Eligibility for benefits may vary by location._** Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Technical Analyst PRN where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** The Technical Analyst implements and supports facility and division desktop equipment, and is the key technical resource responding to end user desktop incidents and requests reported to the Service Desk. Problems beyond the scope of their ability or responsibility are communicated in a timely manner to senior-level support personnel. Support to other division and facility IT personnel is provided, as warranted, and participation in 24x7 on-call support is provided based on division IT staff rotation. The Technical Analyst adheres to and supports HCA IT policies and procedures, and recommends process changes that improve the implementation, maintenance and support of IT&S desktop equipment and software. Based on proficiency with PC-based equipment and cabling, the Technical Analyst can provide expanded on-site support to technical resources, if needed. + Installs and repairs facility and division IT&S equipment and software per HCA and division IT&S standards and guidelines, including but not limited to terminals, personal computers, printers, cabling, and related software products + Responds to and resolves inquiries and requests for assistance with division or facility computer systems, and provides a superior customer support experience for division and facility users + Analyzes and provides hands-on support for simple to moderate inquiries. Determines appropriate technical area or vendor to resolve the problem and coordinates with other technical areas, as needed + Logs and tracks problems; reviews problem tracking databases + Performs facility-based moves, adds, and changes (MACs), as needed + Maintains documentation for each incident or request, and escalates complex problems to the next level of support per documented procedures + Provides 24x7 on-call support based on division IT staff rotation, and carries a pager as warranted + Aids and trains users on division and facility technology + Performs preventative maintenance + Recommends process changes that improve the implementation, maintenance and support of IT&S desktop equipment and software + Effectively works with customers, Service Desk and Technical Services personnel + Participates in meetings, committees and continuing education to improve individual, departmental and organizational performance EDUCATION Bachelor's degree in information systems or healthcare related field is preferred EXPERIENCE Must have one year IT experience CERTIFICATE/LICENSE Basic certification in A+ and Microsoft Products is preferred; education and/or experience may be substituted for A+ certification Valid state drivers license and proof of auto insurance, if applicable ITG (*************************** transforms healthcare and givespeople **healthier tomorrows** . We deliver information technology strategy, support,and solutions. ITG improve and enhance patient care and business operations. We deliver services atadministrative locations, data centers, and hospitals. The facilities we support are located in 20+ statesand the United Kingdom. Our team works to **move healthcare forward** . We do this byseeking, embracing, developing, and delivering technology for patient care. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for thedelivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Technical Analyst PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

Responsible for providing business process redesign, communication and change management for operations. Backend operationalization of policies, standardization of system set-up and a resource for all departments and health plans company-wide. Knowledge/Skills/Abilities * Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other internal guidelines. * Review, research, analyze and evaluate information to assess compliancy between a process or function and the corresponding written documentation. Use analytical skills to identify variances. Use problem solving skills and business knowledge to make recommendations for process remediation or improvement. * Summarize and document assessment outcomes and recommendations. Ensure that they are appropriately communicated (written and verbal) to process owners and management. * Collaborate with process owners to maintain and/or create business process documentation and workflows related to Core Operations functions. * Serve as liaison between Core Operations and internal and external auditors for all formal Core Operations audits that are not compliance related. * Coordinate, facilitate and document audit walkthroughs. * Research, collect or generate requested documentation. Provide timely and accurate responses, both written and verbal. * Research and respond to clarifying questions submitted by internal and external auditors. Work in partnership with other functional areas as needed.. * Ability to write SQL queries * Experience with QNXT configuration * Experience with troubleshooting and analyzing issues. * Experience working in a Medicare environment is highly preferred. * Claims adjudication experience is highly preferred. Job Qualifications Required Education Associate's Degree or two years of equivalent experience Required Experience * Four years proven analytical experience within an operations or process-focused environment. Additional required experience for Corporate Operations: * Analytical experience within managed care operations. * Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. Preferred Education Bachelor's Degree Preferred Experience * Six years proven analytical experience within an operations or process-focused environment. * Previous audit and/or oversight experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $116,835 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

We're a fast moving $17.5 billion, Fortune 200 publicly-traded company with more than 11,000 stores and 12 distribution centers in 40 states, growing by hundreds of stores each year. We work in an energetic team atmosphere that leverages each person's strengths and maximizes potential. We are committed to attracting upbeat, talented, and motivated people who can advance our mission of "Serving Others." Job Description This company is seeking a mobile application architect/developer (Sr. Systems Analyst). The Sr. Systems Analyst - Store Systems, while reporting to the IT Project Manager, will function as a senior technical resource and Subject Matter Expert (SME) for application development and design heavily focused on Mobile platforms. The Sr. Systems Analyst will consult with business users and Project Managers to identify current operating procedures, clarify program objectives, and develop detailed specifications for new applications or changes to existing applications that further company goals and will also provide technical guidance to other team members, lead projects, and manage both internal and external resources to ensure deliverables meet time and quality constraints Qualifications Work Experience and/or Education · A degree in Computer Science or demonstrated background included 8 or more years of relevant experience in applicable programming language. · .NET Framework, ASP.NET, VB.NET, C#, WCF, WebAPI, SQL (SQL server and Oracle), Windows Forms, Web Services, HTML5, Mobile applications development, SSIS required. · Database modeling and data architecture concepts such as OLTP and OLAP required. · Win8.1 XAML .NET and MVC design pattern Qualifications Mobile application development net framework database modeling and data architecture concept such as OLTA or OLAP Demonstrable leadership skills with a record of attainment through others. · Ability to be an active participant in a team setting that drives to discovering solutions in a collaborative manner. · Ability to efficiently manage multiple efforts simultaneously with an excellent understanding of business processes and drivers. · Ability to develop high quality code that is maintainable, structured, highly organized and self-documenting while ensuring code adheres to industry best practices and DG SDLC guidance. · Ability to be flexible and efficient in time management while maintaining the ability to prioritize workload. · Skills in Project planning and tracking using MS-Project understanding of the PM process. · Demonstrable ability to hold effective meetings with above-average presentation skills. · Capable of coordinating and directing outside resources. · Excellent delegation and follow-up, with emphasis on adherence to deadlines while meeting department productivity standards. · Displays excellent written and oral communication skills and performs work with consistency, accuracy and responsiveness. · Proactively identify and communicate programming and/or design issues. · Proactively identify business issues, research options, and recommend solutions while acting as liaison with business partners and other IT departments. · Assist in determining technical direction for applications and development tools and assist in their selection and implementation. Additional Information All your information will be kept confidential according to EEO guidelines. If you meet the requirements of this unique opportunity, we encourage you to explore how you can make a difference by applying now. Please contact Rachelle Decker by sending an attached Word version of your most recent resume to get started. I can also be reached at 303-847-2677

Responsible for providing business process redesign, communication and change management for operations. Backend operationalization of policies, standardization of system set-up and a resource for all departments and health plans company-wide. **Knowledge/Skills/Abilities** + Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other internal guidelines. + Review, research, analyze and evaluate information to assess compliancy between a process or function and the corresponding written documentation. Use analytical skills to identify variances. Use problem solving skills and business knowledge to make recommendations for process remediation or improvement. + Summarize and document assessment outcomes and recommendations. Ensure that they are appropriately communicated (written and verbal) to process owners and management. + Collaborate with process owners to maintain and/or create business process documentation and workflows related to Core Operations functions. + Serve as liaison between Core Operations and internal and external auditors for all formal Core Operations audits that are not compliance related. + Coordinate, facilitate and document audit walkthroughs. + Research, collect or generate requested documentation. Provide timely and accurate responses, both written and verbal. + Research and respond to clarifying questions submitted by internal and external auditors. Work in partnership with other functional areas as needed.. + Ability to write SQL queries + Experience with QNXT configuration + Experience with troubleshooting and analyzing issues. + Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education** Associate's Degree or two years of equivalent experience **Required Experience** - Four years proven analytical experience within an operations or process-focused environment. Additional required experience for Corporate Operations: - Analytical experience within managed care operations. - Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's Degree **Preferred Experience** - Six years proven analytical experience within an operations or process-focused environment. - Previous audit and/or oversight experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $116,835 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Our staffing solutions connect skilled candidates with the best companies in the area. We take pride in understanding a candidate's skill set, experience and needs and then pairing them up with the right organization. We conduct thorough interviews, reference and background checks, and we verify previous work history of all our candidates before we place them. As one of the premier Staffing agencies in Colorado, we help job seekers find positions in various fields of work at the best organizations in Colorado. Not only do we provide you with job opportunities, we also offer ongoing training and courses that will help you improve your skills and work. Job Description Are you ready for an exciting career move? We're a fast moving $17.5 billion, Fortune 200 publicly-traded company with more than 11,000 stores and 12 distribution centers in 40 states, growing by hundreds of stores each year. We work in an energetic team atmosphere that leverages each person's strengths and maximizes potential. We are committed to attracting upbeat, talented, and motivated people who can advance our mission of "Serving Others." We are seeking a mobile application Sr. Systems Analyst. The Sr. Systems Analyst - Store Systems, while reporting to the IT Project Manager, will function as a senior technical resource and Subject Matter Expert (SME) for application development and design heavily focused on Mobile platforms. The Sr. Systems Analyst will consult with business users and Project Managers to identify current operating procedures, clarify program objectives, and develop detailed specifications for new applications or changes to existing applications that further company goals and will also provide technical guidance to other team members, lead projects, and manage both internal and external resources to ensure deliverables meet time and quality constraints. Duties and Responsibilities · Architects, designs and codes in conformance to company SDLC procedures and best practices. · Supports existing systems during business hours and on-call. · Acts as technical liaison between business partners and Information Technology. · Identifies technical enhancements and new development based on business needs. · Coordinates and performs user technical training. · Identifies and corrects systems flaws and/or procedural gaps. · Ensures quality of development by other team members. · Plans and tracks resources and tasks for projects. · Ensures technical direction is understood and implemented appropriately. · Mentors and guides new staff in all situations where initial and further education is needed or required. Work Experience and/or Education · A degree in Computer Science or demonstrated background included 8 or more years of relevant experience in applicable programming language. · .NET Framework, ASP.NET, VB.NET, C#, WCF, WebAPI, SQL (SQL server and Oracle), Windows Forms, Web Services, HTML5, Mobile applications development, SSIS required. · Database modeling and data architecture concepts such as OLTP and OLAP required. · Win8.1 XAML .NET and MVC design pattern Qualifications Qualifications · Demonstrable leadership skills with a record of attainment through others. · Ability to be an active participant in a team setting that drives to discovering solutions in a collaborative manner. · Ability to efficiently manage multiple efforts simultaneously with an excellent understanding of business processes and drivers. · Ability to develop high quality code that is maintainable, structured, highly organized and self- documenting while ensuring code adheres to industry best practices and DG SDLC guidance. · Ability to be flexible and efficient in time management while maintaining the ability to prioritize workload. · Skills in Project planning and tracking using MS-Project understanding of the PM process. · Demonstrable ability to hold effective meetings with above-average presentation skills. · Capable of coordinating and directing outside resources. · Excellent delegation and follow-up, with emphasis on adherence to deadlines while meeting department productivity standards. · Displays excellent written and oral communication skills and performs work with consistency, accuracy and responsiveness. · Proactively identify and communicate programming and/or design issues. · Proactively identify business issues, research options, and recommend solutions while acting as liaison with business partners and other IT departments. · Assist in determining technical direction for applications and development tools and assist in their selection and implementation. Additional InformationAll your information will be kept confidential according to EEO guidelines.

Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. JOB DUTIES * Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. * Monitors regulatory sources to ensure all updates are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. * Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. * Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. * Where applicable, codifies the requirements for system configuration alignment and interpretation. * Provides support for requirement interpretation inconsistencies and complaints. * Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible. * Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. * Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product. * Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. Recoveries & Disputes * Review and validate provider complaints and payment disputes, ensuring accurate and timely resolution in line with policy and contractual guidelines. * Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. * Evaluate root cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. * Provide actionable insights and recommendations to leadership to drive continuous improvement. Skills & Competencies * Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. * In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. * Strong understanding of claim system configurations, payment policies, and audit processes. * Exceptional analytical, problem-solving, and documentation skills. * Ability to translate complex business problems into clear system requirements and process improvements. * Proficiency in Excel * Knowledge in QNXT preferred * Strong communication and stakeholder management skills with ability to influence across teams. KNOWLEDGE/SKILLS/ABILITIES * Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation are agreed on and clear for solutioning. * Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. * Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. * Ability to concisely synthesize large and complex requirements. * Ability to organize and maintain regulatory data including real-time policy changes. * Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. * Ability to work independently in a remote environment. * Ability to work with those in other time zones than your own. JOB QUALIFICATIONS Required Qualifications * At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. * Policy/government legislative review knowledge * Strong analytical and problem-solving skills * Familiarity with administration systems * Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams * Previous success in a dynamic and autonomous work environment Preferred Qualifications * Project implementation experience * Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). * Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $128,519 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

As one of the most experienced staffing firms in Denver, Colorado, North Star Staffing Solutions prides itself on exceptional services and relationships that we have built over the years. Our dedication to satisfying our clients' needs is driven by a passionate team of dedicated staff with over 10 years of experience. We have continued to provide the recruiting and staffing expertise our clients expect and they have acknowledged time and time again that our services are integral to their success. Our mission is to bring great people and great organizations together. This is the foundation that has made us who we are today. We understand the changing dynamics of today's workplaces and the landscape of the economy. This is what puts us one step ahead when it comes to selecting the right fit for your organization. Job Description The Sr. Programmer Analyst - Oracle, will design, develop and test Oracle solutions for required projects. The Analyst will also create system level technical test plans and documentation while helping with the development of technical skills of other team members and supporting production systems. Duties & Responsibilities •Writes and assembles system level design specifications. •Programs, tests and documents new and/or existing applications. •Develops system level program specifications and test plans. •Provides regular support for existing programs and procedures (7 x 24). •Assists with system level user tests, documentation, and training. •Ensures quality control by adhering to programming, testing and documentation standards. •Provides informal technical support for team members. Knowledge, Skills & Abilities •Ability to design effective systems based on user requirements. •Understands the systems development process. •Capable of writing thorough system and unit test plans. •Good written, oral, and listening communication skills. •Ability to coordinate and administer tasks related to smaller projects. •Understanding of general business concepts and user procedures. •Must be a team player and customer service driven. Qualifications Job Requirements & Qualifications: •Minimum 5 years experience •*MUST HAVE U.S. Bachelor's degree* •Extensive experience in PL/SQL and SQL is required •Extensive experience in Oracle Forms and Reports is required •Must have a thorough knowledge of at least one programming language (Java highly preferred)

Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. **JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. + Monitors regulatory sources to ensure all updates are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. + Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. + Where applicable, codifies the requirements for system configuration alignment and interpretation. + Provides support for requirement interpretation inconsistencies and complaints. + Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible. + Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. + Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. **Recoveries & Disputes** + Review and validate provider complaints and payment disputes, ensuring accurate and timely resolution in line with policy and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. + Evaluate root cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable insights and recommendations to leadership to drive continuous improvement. **Skills & Competencies** + Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of claim system configurations, payment policies, and audit processes. + Exceptional analytical, problem-solving, and documentation skills. + Ability to translate complex business problems into clear system requirements and process improvements. + Proficiency in Excel + Knowledge in QNXT preferred + Strong communication and stakeholder management skills with ability to influence across teams. **KNOWLEDGE/SKILLS/ABILITIES** + Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation are agreed on and clear for solutioning. + Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. + Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. + Ability to concisely synthesize large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. + Ability to work independently in a remote environment. + Ability to work with those in other time zones than your own. **JOB QUALIFICATIONS** **Required Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. + Policy/government legislative review knowledge + Strong analytical and problem-solving skills + Familiarity with administration systems + Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams + Previous success in a dynamic and autonomous work environment **Preferred Qualifications** + Project implementation experience + Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

As one of the most experienced staffing firms in Denver, Colorado, North Star Staffing Solutions prides itself on exceptional services and relationships that we have built over the years. Our dedication to satisfying our clients' needs is driven by a passionate team of dedicated staff with over 10 years of experience. We have continued to provide the recruiting and staffing expertise our clients expect and they have acknowledged time and again that our services are integral to their success. Our mission is to bring great people and great organizations together. This is the foundation that has made us who we are today. We understand the changing dynamics of today's workplaces and the landscape of the economy. This is what puts us one step ahead when it comes to selecting the right fit for your organization. Job Description The Sr. Programmer Analyst - Oracle, will design, develop, and test Oracle solutions for required projects; create system level technical test plans and documentation. Job Requirements: * Experience in PL/SQL and SQL, Oracle Forms and Reports * Knowledge of at least one programming language and database Compensation will consist of a competitive salary based on experience, with bonus potential and benefits. * Visa Requirements: U.S. Citizens / Green Card Holder Qualifications • Minimum 5 years experience in Information Technology and Bachelor's degree. Additional Information All your information will be kept confidential according to EEO guidelines.

Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. KNOWLEDGE/SKILLS/ABILITIES * Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. * Participates in defect resolution for assigned component * Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. * Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans. * Participates in the implementation and conversion of new and existing health plans. * Must have experience in Contracts configuration in QNXT or Networx * Experience in DOFR (division of financial responsibility) or CA DOFR, DME, capitation, Physician pricing is required. * Must have knowledge on Medicare payment methods * Experience on Hospital payment methodology & processing is essential * Understanding on hospital claims processing and configuration works * Medicare fee schedule knowledge is required * Medicaid and Duals experience is highly preferred JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. Preferred Education Graduate Degree or equivalent experience Medicaid and Duals expeirence is preferred. Preferred Experience 7-9 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $141,371 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.