Solutions analyst jobs in Sioux City, IA - 22 jobs

Description & Requirements At Maximus, we lead with purpose-helping government agencies deliver programs that improve lives. We are seeking a Lead Business Analyst to provide strategic leadership in managing requirements, guiding project teams, and ensuring operational excellence. In this role, you will serve as a trusted advisor to clients and internal stakeholders, driving solutions that meet complex business needs and exceed expectations. ***This is a fully remote position. Requires 5% 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: - Develop and maintain effective processes for managing requirements, developing business processes, and providing production support to the operation. - Lead and implement the design, analysis, interpretation and evaluation of a variety of reports, internal/external resource documents and surveys. - Lead and own activities related to Business Requirement Documents process. - Analyze existing systems, programs, policies, and organizational processes and recommend enhancements and improved solutions. - Design and implement process improvements that enhance customer service and optimize business operational efficiency and quality. - Conduct statistical analyses and evaluates a wide variety of information to assess operational difficulties and develop solutions to complex problems, including escalated issues Independently develop and implement modeling and evaluation processes to determine the effectiveness of current operational activities. - Provide oversight and perform research and gap analysis to determine and improve effectiveness of all operational documentation. - Serve as a liaison between business ops and system team for the planning, implementation and maintenance of programs and contractual changes. - Communicate status, risks, and issues to the Systems Analysis and Design Director, senior management and/or the client, as appropriate. - Monitor BA activities with the Systems Analysis and Design Director to ensure that all business analysis activities are allocated appropriately and executed as planned. - Ensure all business requirements and business processes are adequately documented. - Lead cooperative efforts among members of a project team. - Manage efficient execution of business meetings with internal project staff, client staff, and/or project vendors. - Act as advisor to project team members to resolve problems. - Provide support to operation senior staff, division managers and program managers. - Develop high quality communications suitable for clients. - Work effectively with internal and external business partners in the delivery of solutions. - Maintain extensive and comprehensive working knowledge of all assigned programs and projects. 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. Program Specific Requirements: - BABOK certified preferred - Write complex SQL queries preferred - Analyzing provider policy and resulting business process changes or similar experience required - At least 3+ years Medicaid provider experience / Medicaid provider enrollment experience #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 **************************. Minimum Salary $ 100,000.00 Maximum Salary $ 150,000.00

**JOB DESCRIPTION** **Job Summary** 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** + Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers. + Sets up process for monitoring, tracking, and trending department data. + Prepares any state mandated reports and analysis. + Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. + Implements and uses the analytics software and systems to support the departments goals. **JOB QUALIFICATIONS** **Required Education** Associate's Degree or equivalent combination of education and experience **Required Experience** 1-3 years **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 3-5 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: $80,168 - $116,835 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

If you are currently employed at Smithfield, please log into Workday and submit your application through the Jobs Hub. A great job-and a great future-awaits you at Smithfield Foods. We are an American food company with a leading position in packaged meats and fresh pork products. We're looking for motivated people who want to join our team and grow lasting and meaningful careers with us. Apply Now! THE VALUE YOU'LL BRING: The position summary states the general nature and purpose of the job. Overall accountabilities are defined in this section. As an IT Endpoint Analyst, you will lead the implementation, support, and continuous improvement of associate productivity technology across the organization. You will play a key role in ensuring endpoint solutions meet business needs, align with industry best practices, and deliver a seamless employee experience. Your focus will include lifecycle planning, issue resolution, device security, capacity planning, and stakeholder consultation. WHAT YOU'LL DO: The below statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. May perform other duties as assigned. * Act as a Liaison: Serve as the primary connection between associates and IT, translating productivity needs into actionable technology solutions. * Lead Lifecycle Management: Oversee the full lifecycle of endpoint hardware and software, ensuring timely upgrades, replacements, and decommissions. * Deploy & Support Solutions: Assist in the deployment of new productivity tools and enhancements, minimizing business disruption. * Drive Innovation: Recommend and implement improvements using existing tools to reduce manual work, enhance efficiency, and increase ROI. * Resolve Issues: Serve as an escalation point for the Service Desk and lead root cause analysis for recurring endpoint issues. * Collaborate Across Teams: Coordinate with Architecture, Infrastructure, and Security to prepare for equipment rollouts and system changes. * Support Productivity Tools: Lead support efforts for all associate-facing devices, including desktops, laptops, tablets, printers, and mobile devices. * Standardize & Automate: Promote simplification and automation of endpoint processes and support wherever possible. * Ensure Knowledge & Compliance: Maintain inventories, document processes, and update the knowledge base with known resolutions. * Contribute to Company Initiatives: Adhere to company policies and actively support corporate goals and programs. WHAT WE'RE SEEKING: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals to perform the essential functions. * Education & Experience: Bachelor's degree from an accredited four-year college or university and 2+ years of relevant experience, or equivalent combination of education and experience, required * Technical Expertise: Broad experience administering and supporting Windows, Apple, and Android devices, including desktops, laptops, virtual desktops, tablets, and mobile devices. * Software & Tools Knowledge: Familiarity with major third-party software such as Microsoft Office 365, Adobe, Java, and Apple Business Manager, as well as remote-control tools like TeamViewer or RDP. * Endpoint & System Proficiency: Experience with endpoint technologies, security updates, driver configurations, and system patching on PCs. * Analytical & Problem-Solving Skills: Strong critical thinking and troubleshooting skills with the ability to manage multiple tasks and projects simultaneously. * Work Ethic & Execution: Self-motivated, dependable, and focused on driving results with minimal supervision. * Calm Under Pressure: Maintains composure in high-pressure environments and responds effectively to urgent issues. * Automation Mindset: Passion for automation and process improvement. * Teamwork & Communication: Works collaboratively across teams and communicates clearly and professionally both verbally and in writing. * Integrity & Adaptability: Acts with honesty and accountability, adapts to changing needs, and is willing to work extra hours and travel when required. PHYSICAL DEMANDS & WORK ENVIRONMENT: The physical demands described here are representative of those an employee should possess to successfully perform the essential functions of this job. The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Although work will be mostly performed in an office environment, must be able to visit and comfortably work in a plant, warehouse, distribution center or other manufacturing facility. IndSPR-Corp Relocation Package Available No EEO Information Smithfield is an equal opportunity employer committed to workplace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, gender identity, protected veterans status, status as a disabled individual or any other protected group status or non-job characteristic as directed by law. If you are an individual with a disability and would like to request a reasonable accommodation for any part of the employment selection process, please call us at ************.

DecisionPoint Corporation is seeking an IT Security Analyst to join our US Air Force team supporting the defense of USAF infrastructure (AFIN) at the base level. is onsite at Sioux City ANGB. Duties & Responsibilities The contractor shall provide Functional Mission Analysis-Cyber assistance to identify weapon system's critical information technology architecture and supporting infrastructure that aids in the warfighting mission. Contractor shall perform Information Security Analyst functions as follow: Contractor personnel supporting this effort shall possess a fundamental understanding of DoD mission assurance concepts/principles and how they relate to the USAF mission. Investigate a diverse collection of network activities in cyberspace to determine essential Mission Relevant Terrain Cyber (MRT-C) support designed for command, control, processes, and systems. Develop a strategy to identify, evaluate, and minimize risks in the local cyberspace environment that are considered crucial for mission success. Create and implement strategies and techniques to merge and display relevant MRT-C, based on essential systems and network services. Identify and analyze trends to define MRT-C requirements and provide guidance and alignment services. Assist with FMA-C, identifying, mapping, and developing a defense plan to safeguard MRT-C. Establish databases to monitor systems, design and revise user boundaries, and create indexing to make searches easier. Utilize classified and unclassified networks and information portals to create support and information distribution plans for mission activities. Review and provide recommendations for establishing new or revised policies, procedures, objectives, and organization design for the staff, as necessary. Coordinate with local/base SMEs to resolve events and/or incidents & brief supporting recommendations and Courses of Actions. Define and perform vulnerability assessments leveraging threat analysis to scope and prioritize efforts. Conduct research, analysis, and correlation across a wide variety of all source data sets (indications and warnings) Coordinate with enterprise-wide cyber defense staff to validate network alerts. Document and escalate incidents (including event's history, status, and potential impact for further action) that may cause ongoing and immediate impact to the environment. Perform cyber defense trend analysis and reporting. Perform event correlation using information gathered from a variety of sources within the enterprise to gain situational awareness and determine the effectiveness of an observed attack. Receive and analyze network alerts from various sources within the enterprise and determine possible causes of such alerts. Qualifications Active Top-Secret clearance with SCI eligibility. Bachelor's degree in Computer Science, Information System Engineering, Business, or related technical discipline in cybersecurity or information technology. IAT Level II Certification (ex: CompTIA Security+) in accordance with (IAW) DOD 8140 and AFMAN 17-1303. Five (5) years of experience required: Functional Mission Analysis in Cyberspace processes and associated mapping and defense of Mission-Relevant Terrain in Cyberspace. Information Technology (IT) cybersecurity principles, concepts, and methods to investigate, analyze, and respond to cyber incidents within a computer network environment or enclave IT security principles, policies, products and services to assess risk factors and advise on vulnerability to attack from a variety of sources (e.g., destructive programs/applications/ viruses, unauthorized access, disruption of services, espionage) and procedures and methods for protection of systems and applications Commonly applied telecommunications principles, concepts, and methodologies, operating characteristics and capabilities of systems, media, equipment, and related software systems, processes, and procedures to assess the efficiency of operations and make recommendations involving equipment and system integrity. Conditions of Employment: Attend the Air Force virtual FMA-C course within one month of onboard, or upon first class availability. Attend Mission Assurance Cyber Coordination Element (MACCE) training within three months of onboard, if funding is available. Complete virtual Mission Assurance Decision Support System (MADSS) training within one month of onboard and obtain an account for MADSS. Our Equal Employment Opportunity Policy EEO and Affirmative Action Policy: DecisionPoint Corporation is an Equal Employment Opportunity and Affirmative Action employer. It is the policy of DecisionPoint Corporation to provide equal employment opportunity in accordance with all applicable Equal Employment Opportunity/Affirmative Action laws, directives and regulations to all employees and qualified applicants without regard to race, ethnicity, color, religion, national origin, sex, age, disability status, pregnancy, sexual orientation, gender identity, genetic information, protected veteran status, or any other protected status under Federal, State or Local laws. Pay Transparency Policy: In accordance with Presidential Executive Order 13665, DecisionPoint Corporation will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Authorization to Share Resume and Personal Information: By expressing your interest and submitting your resume for this position, you authorize DecisionPoint Corporation to share your resume, as well as personal information included on the resume, with its subsidiaries, affiliates and teaming partners for the purpose of considering you for this position and other available positions requiring comparable skills, education and experience. Should DecisionPoint Corporation. or its affiliates and teaming partners wish to initiate pre-employment discussions, you will be asked to complete an employment application and related employment documents.

Do you have a passion for sales and a knack for building relationships? If so, we have the perfect opportunity for you! We are looking for a Business Technology Consultant / Outside Sales professional to join our team in Sioux City. Job Purpose The Business Technology Consultant / B2B Outside Sales professional empowers our customers to achieve their business objectives by delivering cutting-edge content management, document automation, including scanning, copying, and printing solutions, and information security that optimizes their workflows, enhances their productivity, and safeguards their data. As a trusted partner, we'll leverage the latest advancements in business technologies to provide secure, seamless, and personalized experiences that drive growth and maximize ROI for our customers. You will be responsible for identifying and cultivating new business opportunities and developing relationships with our existing clients. You must have a strong understanding of the B2B sales process and an ability to think strategically. If you have the drive and enthusiasm to succeed in this role, we want to hear from you! Compensation, Benefits & Perks Base Pay + Commissions (1st Year Average: $55k - $75k - 2nd Year Average: $80k+) Quarterly Bonuses Consistent schedule: Monday-Friday, 8a-5p Medical, Dental, & Vision Insurance Options 401K with Company Match 9 Paid Holidays plus earn 2 weeks of PTO in your first year Opportunities for Continued Education Protected Territory Advantage of Business Owner Structure without the Risk Support of a Well Established & Trusted Company Industry Based CRM System Rated #1 Service Nationwide Job Tasks Utilize question-based sales method to fully understand client's businesses and their needs to develop and maintain relationships with current and potential clients Meet and exceed quarterly and annual sales goals and objectives Analyze existing customer data, new client leads and market trends to develop strategies and plans to increase sales and cultivate new client relationships Track, monitor, and report sales performance with company CRM/ERP systems Present and promote solutions to current and prospective clients Maintain up-to-date knowledge of product and service offerings with continuing education Attend company sales meetings and complete online product and sales trainings to stay abreast of industry news and trends Requirements Desired Traits Proven success and knowledge in outside business-to-business sales. Ability to develop business relationships to meet and exceed sales goals Self-starter with excellent communication, presentation, and negotiation skills Technical aptitude with the ability to quickly learn about new products and services Proficient with computers and CRM/ERP systems Ability to create and maintain a professional network Ability to work independently and manage own workload Bachelor's degree in Marketing or Business preferred Training Orientation, including product and service training, will be provided by upon hire. On-going professional training (in-house, webinars and potentially off-site 3rd party training/technology conferences) will also be provided. Business Technology Analysts/B2B Sales will be encouraged to seek self-directed training through reading, research, webinars and any other applicable media. Requirements Pre-Employment Background Check Active Drivers License with auto insurance coverage or the ability to obtain insurance coverage Ability to occasionally lift/carry products including technology equipment such as printers, scanners, toner, etc. Basic technology skills including but not limited to Microsoft Office and CRM/ERP systems Salary Description $55,000 - $75,000 (First Year Average)

Position: Part-Time Data Analyst FLSA Status: Hourly, Non-Exempt Department: Institutional Effectiveness Job Status: Part-Time, 10-15Hrs/Wk Work Schedule: Flexible based on project and reporting needs Salary: D.O.E. Reports To: Director of Institutional Effectiveness Organization and Location: This position is located at 601 East College Drive, Winnebago, NE, 68071 Purpose of Position: The Part-Time Data Analyst supports the Institutional Effectiveness (IE) department in ensuring the accuracy, consistency, and integrity of institutional data. Working closely with the Registrar's Office, the analyst will assist in validating data entered into the Student Information System (Campus Café ERP) and other institutional databases. The position involves data extraction, cleaning, validation, and analysis to support institutional research, compliance reporting, and data-informed decision-making across the college. Job Responsibilities: * Collaborate with the Registrar's Office to validate student, course, and enrollment data. * Assist with data extraction, cleaning, and transformation from Campus Café ERP and other college data systems. * Conduct quantitative and qualitative analyses to support institutional reporting, accreditation, and research initiatives. * Develop and maintain documentation of data sources, definitions, and metadata as part of data governance efforts. * Support the Director of Institutional Effectiveness in creating dashboards and visualizations using Tableau or similar tools. * Participate in data quality improvement and data governance activities. * Ensure adherence to data security, confidentiality, and ethical standards in all analyses and reporting. * Support data governance and data quality improvement initiatives, ensuring documentation and metadata are up to date. Minimum Qualifications: * Bachelor's degree in Data Analytics, Computer Science, Business, Statistics, or a related field. * Demonstrated experience with Microsoft Excel, including pivot tables, formulas, and data cleaning. * Basic knowledge of SQL or experience working with databases. * Strong attention to detail, organization, and ability to meet deadlines. * Ability to learn and navigate Student Information Systems (SIS) and institutional databases. Preferred Qualifications: * Master's degree in a quantitative or data-related field. * Experience with Tableau, Power BI, or other data visualization tools. * Familiarity with Campus Café ERP or other higher education data systems. * Understanding of data governance, reporting, and institutional research principles. * Commitment to the mission and values of Little Priest Tribal College and to advancing data-informed decision-making in tribal higher education. Travel: Occasional travel is required. Condition of Employment: * Must pass a pre-employment criminal background screen. * Must be able to pass a drug screening. HOW TO APPLY: You can visit us online at ********************************************* to complete an online application and submit a cover letter, current resume, certified college transcripts, and a letter of reference. Applicants can also submit a paper application, cover letter, current resume, certified college transcripts, and a letter of reference to Human Resources, Little Priest Tribal College, P.O. Box 270, Winnebago, NE 68071 or email to *****************************. * Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact LPTC through the Federal Relay System at **************. Additionally, program information may be made available in languages other than English. At LPTC, we are committed to hiring a workforce that is as diverse and inclusive as the people and communities we serve. We are an equal opportunity employer. Employment practices are free of discrimination. Indian preference applies. All other applicants have equal opportunities for employment irrespective of their race, creed, color, religion, national origin, sex, age, marital status, gender identity, physical or mental disability, or veteran status. LPTC will uphold these principles and ensure that this philosophy is administered appropriately. Arrangements for reasonable accommodations required by disabilities can be made by contacting the Human Resources Office. Little Priest Tribal College is an Equal Opportunity Employer

Empowering business users and driving innovation through low-code solutions is at the heart of this role. As a Microsoft Power Platform & Copilot Solutions Architect, you will lead the design and implementation of scalable, user-friendly solutions that transform business processes. In this position, you will champion the adoption of Power Platform and Copilot technologies, collaborating closely with stakeholders to deliver automation, AI integration, and process improvements that align IT strategy with business goals. Duties and Responsibilities: - Creates principles to guide application implementation decisions for the firm. Collaborates with stakeholders to define system specifications, procedures, and technical standards for the design and deployment of application development initiatives. Applies technical principles and concepts to develop solutions to complex business and programming requirements based on application development needs. Identifies dependencies and interaction across multiple systems and platforms and evaluates alternative approaches or technologies to increase productivity, efficiency and enable and enhance core business capabilities. Researches, tests, and evaluates new and emerging technologies and vendor solutions. - Collaborate directly with business users and stakeholders to gather requirements, analyze pain points, and translate needs into efficient, low-code solutions. - Develop and maintain application roadmaps, technical standards, and best practices for low-code development and governance. - Mentor and enable business users and citizen developers, promoting adoption of Power Platform and Copilot capabilities across the organization. - Evaluate and integrate emerging technologies, including AI-driven automation and analytics, to enhance business processes and productivity. - Design interfaces and integrations between applications, databases, and systems, ensuring seamless data flow and interoperability. - Document specifications, procedures, and technical standards for solution design and deployment. - Conduct architecture and code reviews to ensure quality, scalability, and compliance with development standards. - Monitor solution performance and recommend optimizations to maximize business value. - Perform other duties as required. \#LI-LP1 \#LI-REMOTE **Job Title:** Microsoft Power Platform & Copilot Solutions Architect **Group:** COR **Employment Type:** Regular **Minimum Qualifications:** - Bachelor's Degree. - 6 years of relevant experience. - Equivalent additional directly related experience will be considered in lieu of a college degree. Domestic and/or international travel may be required. The frequency of travel is contingent on specific duties, responsibilities, and the essential functions of the position, which may vary depending on workload and project demands. **EEO Statement:** We attract the best people in the industry, supporting their efforts to learn and grow. We strive to create a challenging and progressive work environment. We provide career opportunities that span a variety of disciplines and geographic locations, with projects that our employees plan, design, build and operate as diverse as the needs of our clients. CDM Smith is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression), national origin, age, marital status, disability, veteran status, citizenship status, genetic information or any other characteristic protected by applicable law. **Why CDM Smith?:** Check out this video and find out why our team loves to work here! (************************************************* **Join Us! CDM Smith - where amazing career journeys unfold.** Imagine a place committed to offering an unmatched employee experience. Where you work on projects that are meaningful to you. Where you play an active part in shaping your career journey. Where your co-workers are invested in you and your success. Where you are encouraged and supported to do your very best and given the tools and resources to do so. Where it's a priority that the company takes good care of you and your family. Our employees are the heart of our company. As an employer of choice, our goal is to provide a challenging, progressive and inclusive work environment which fosters personal leadership, career growth and development for every employee. We value passionate individuals who challenge the norm, deliver world-class solutions and bring diverse perspectives. Join our team, and together we will make a difference and change the world. **Job Site Location:** United States - Nationwide **Agency Disclaimer:** All vendors must have a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any other member of the CDM Smith staff will not be considered binding terms. All unsolicited resumes sent to CDM Smith and any resume submitted to any employee outside of CDM Smith Recruiting Center Team (RCT) will be considered property of CDM Smith. CDM Smith will not be held liable to pay a placement fee. **Amount of Travel Required:** 0% **Assignment Category:** Fulltime-Regular **Visa Sponsorship Available:** No - We will not support sponsorship, i.e. H-1B or TN Visas for this position **Skills and Abilities:** - Deep expertise in Microsoft Power Platform (Power Apps, Power Automate, Power BI, Power Pages) and Copilot technologies. - Strong understanding of low-code development principles, frameworks, and governance. - Proven ability to work collaboratively with business users, translating requirements into practical, user-friendly solutions. - Experience with data modeling, integration patterns, and cloud services (e.g., Dataverse, Azure). Expert in conducting system analysis to identify operational limitations and gaps in functional coverage. - Excellent written, verbal, and diagrammatic communication skills. - Excellent time management, decision making, presentation and organization skills. - Demonstrated ability to interface effectively and collaborate with clients, peers, and management to develop solutions and ensure stakeholder buy-in. - Demonstrated critical thinking skills, ability to accurately analyze information and make sound decisions. - Demonstrated ability to take initiative and accountability for achieving results. **Background Check and Drug Testing Information:** CDM Smith Inc. and its divisions and subsidiaries (hereafter collectively referred to as "CDM Smith") reserves the right to require background checks including criminal, employment, education, licensure, etc. as well as credit and motor vehicle when applicable for certain positions. In addition, CDM Smith may conduct drug testing for designated positions. Background checks are conducted after an offer of employment has been made in the United States. The timing of when background checks will be conducted on candidates for positions outside the United States will vary based on country statutory law but in no case, will the background check precede an interview. CDM Smith will conduct interviews of qualified individuals prior to requesting a criminal background check, and no job application submitted prior to such interview shall inquire into an applicant's criminal history. If this position is subject to a background check for any convictions related to its responsibilities and requirements, employment will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically disqualify a candidate. In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. **Pay Range Minimum:** $101,150 **Pay Range Maximum:** $176,987 **Additional Compensation:** All bonuses at CDM Smith are discretionary and may or may not apply to this position. **Work Location Options:** Fully Remote or Hybrid Work Options may be considered for successful candidate. **Additional Pay Range Information:** The pay range for this position is listed above. This pay range is a good faith estimate representative of all experience levels for this position based on the geographic location assigned to the position. Please note that pay ranges vary based on geographic location. In addition to geographic location, the company considers several other factors when extending an offer including but not limited to the role, function and associated responsibilities, the candidate's work experience, education/training and key skills. **Massachusetts Applicants:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

JOB TITLE: Computer Systems Analyst DEPARTMENT: Computer Services REPORTS TO: Director of Computer Services Perform systems management and integration functions across campus for all offices and departments. Work to improve the existing computer systems and programs. Analyze data processing and application problems and implement solutions to complex applications, network concerns or system administration issues. Facilitate and support software applications outside our Colleague/Microsoft/Canvas stack, providing analysis and recommendations to improve existing processes and workflow. ESSENTIAL DUTIES AND RESPONSIBILITIES: Create and maintain a support framework for various applications utilized on campus (i.e. Agilsys, Campus Store system, access control, and others). Analyze data processing and application problems. Research, recommend, and apply solutions to difficult network concerns. Audit existing systems on campus to identify areas for improvement. Identify bugs and inefficiencies within exiting systems and develop patches and fixes. Work with team members across campus to design, modify, and/or implement appropriate IT systems that will help support organizational goals. Ensure all systems and programs are carefully documented. Lead the integration of various applications into the university information system. Create and maintain a support framework for all applications on campus. Manage all software versions. Understand the functionality of all applications and train end-users as needed. Other duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES: A clear understanding and commitment to the Reformed perspective and mission of Dordt University and ability to clearly articulate and communicate the mission effectively. Ability to express an active Christian commitment, which shall include identification with a local organized church that holds to beliefs that are consistent with the mission of the university. Prospective members of he Dordt University community are expected to agree with its sexuality, gender identity, and sexual conduct policy which can be found on the DU website (contact the HR Office if you need additional information). Bachelor's degree in Computer Science, Information Systems, Information Technology, or a closely related field. Experience with Drupal content management system, HTML, SQL and scripting languages. Operating system experience, preferably Windows or UNIX. Ability to apply critical thinking to identify strengths and weaknesses of various solutions. Experience and ability to conduct systems analysis to determine how various systems function and interact - providing guidance to offices regarding how changes in system operations will impact outcomes. Leadership experience and the ability to work with and train student assistants Ability to work with wide range of customer expectations and skills Commitment to high level of service for end users Strong interpersonal communication and relational abilities Strong commitment to being a team player Demonstration of ability to complete tasks in a timely manner Creativity and problem solving highly desirable

JOB DESCRIPTIONJob Summary 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 * Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers. * Sets up process for monitoring, tracking, and trending department data. * Prepares any state mandated reports and analysis. * Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. * Implements and uses the analytics software and systems to support the departments goals. JOB QUALIFICATIONS Required Education Associate's Degree or equivalent combination of education and experience Required Experience 1-3 years Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience 3-5 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: $80,168 - $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.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Primary Job Duties & Responsibilities + Implements a comprehensive configuration management plan that outlines the strategy, policies, procedures, and guidelines for managing the organization's hardware, software, and documentation. + Analyzes complex configuration data to provide insights into configuration management metrics, trends, and compliance issues. + Applies in-depth knowledge of configuration management tools and systems to support organizational operations. + Codes and/or writes custom configurations or extensions to tailor technology functions to the specific needs of the organization. + Communicates with project managers, developers, and system administrators to align configuration management practices with project needs and organizational goals. + Completes assessments to determine risks associated with configuration management, such as unauthorized changes, data integrity issues, and/or configuration drift. + Conducts routine audits that guide the development of corrective actions and drive continuous improvement in configuration management practices. + Communicates regularly with the release management team to ensure that new software releases and updates are properly configured and documented before deployment. + Ensures that configuration management practices align with relevant industry standards, regulations, and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live validation + QNXT Experience + Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience 3-5 years + Working knowledge of problem solving and decision making skills + Certified Information Systems Security Professional (CISSP) preferred. + Certified Analytics Professional (CAP) preferred. **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Description & Requirements Maximus is thrilled to announce an exciting opportunity for a Capture Analyst to join our Capture Team and play a key role in driving growth within the state and local government health and human services market. In this role, you'll research customer budgets and program requirements, analyze data, assess competitors, and collaborate with solution and proposal teams to develop winning strategies. This position offers an excellent opportunity to build expertise in business development while contributing to initiatives that improve lives and strengthen communities nationwide. This is a regular, full-time remote position. Why Maximus? - • Competitive Compensation - 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. - • Paid Time Off Package - Enjoy Unlimited Time Off, Holidays, and sick leave, along with Short- and Long-Term Disability coverage. - • 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: - Support all planning and capture activities for opportunities prior to RFP release. - Research customer budgets, program requirements, and relevant legislation. - Perform detailed competitor assessments. - Identify and evaluate scope of work and technology requirements . - Support proposal response activities as directed by the capture manager and proposal manager. - Research and answer questions from the writing team, solution teams, and pricing lead. - Assist in development of operations and staffing models by analyzing and reviewing volume and staffing information, published reports publicly available incumbent performance reports, competitor research, and data from similar projects. - Work with subject matter experts to document business processes and customer journeys. - Assist the capture manager in identifying and documenting RFP requirements, solution gaps, and new and existing solutions. - Participate in solution meetings and complete use cases, volume estimates, and requirements documents for IT, security, pricing, and other operational teams. - Assist the capture manager, operations and sales leads in conveying key information to the writing and solution teams in order for them to develop a winning proposal. Minimum Requirements - Bachelor's degree in related field. - 3-5 years relevant professional experience. - Equivalent combination of education and experience considered in lieu of education. - Combination of education and experience considered in lieu of degree; may have additional training or education in area of specialization - Experience applying AI tools or techniques to support market research, data analysis, or proposal development is preferred - Familiarity with CRM platforms, especially Salesforce, for tracking opportunity pipelines, customer engagement, and capture activities is preferred - Experience integrating CRM data into capture planning and workflows - Working knowledge of APMP best practices, including opportunity qualification, win strategy development, and proposal lifecycle management is preferred - APMP certification (Foundation or Practitioner level) is preferred - Ability to leverage automation and AI-enhanced tools to streamline capture documentation, competitor analysis, and customer journey mapping is preferred - Proficiency in data visualization tools such as Power BI, with the ability to transform complex datasets into actionable insights for capture and proposal teams is preferred 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 **************************. Minimum Salary $ 60,000.00 Maximum Salary $ 90,000.00

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: $80,168 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary + This position is responsible for helping to develop our commercial large group rating system. + Primary responsibilities will entail understanding commercial rating methodologies and helping to develop and implement them into our rating applications. + Collaboration with key business partners in actuarial, underwriting and finance to understand the needs for applications that underwriters will use to rate new and renewing business. + Work with actuarial departments to implement new or updated rating strategies to help estimate future incurred costs and expenses. + Conduct ad-hoc analysis using rating system data for our business partners to understand the impacts to rate development. + The ideal candidate will be able to analyze complex problems, have strong communication skills, can help explain actuarial concepts, at a high level, to non-actuaries, such as underwriters and other programmers and the ability to analyze and solve complex problems. Required Qualifications + Bachelor's degree with 2+ years relevant work experience in actuarial or related fields + 1+ years of experience in application program development, or an equivalent combination of education and experience + 2 actuarial exams passed + Knowledge of SQL is a plus + Strong technical, analytical and communication skills + Works well with a team Preferred Qualifications + Knowledge of health insurance rating methodologies + Experience with computer programming or advanced VBA knowledge Education + Bachelor's or higher degree required **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $64,890.00 - $173,040.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/09/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Description & Requirements Maximus is seeking a qualified Sr. Technical Analyst for multiple projects, current and upcoming. The qualified candidate will be involved in technical planning and assessment projects with multiple state agencies. The position requires the candidate to produce technical analyses, develop estimates, review and contribute to requirements for large systems-planning efforts in the Child Support, Child Welfare, and Integrated Eligibility (SNAP, TANF, Medicaid) public-sector domains. The individual will report directly to a Senior Manager. Maximus is a matrix-managed organization, which means the individual will have secondary reporting relationships to one or more Project Managers, depending on which projects they are assigned. *This role is remote but requires working standard business hours in the US time zone of the client. This position is contingent upon award. * Essential Duties and Responsibilities: - Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary. - Support leadership in ensuring that the project is delivered to specifications, is on time, and within budget. - Work closely with management and work groups to create and maintain work plan documents. - Track the status and due dates of projects. - Manage relationships with project staff responsible for projects. - Produce regular weekly and monthly status reports that could include; work plan status, target dates, budget, resource capacity, and other reports as needed. - Facilitate regular meetings and reviews. - Adhere to contract requirements and comply with all corporate policies and procedures. Job Specific Duties and Responsibilities: -Perform duties independently under the direction of their direct manager and/or Project Managers on specific projects. -Review project documentation and client materials and provide analysis of technical and business topics. -Participate in client meetings and offer observations and insight of technical and business topics. -Identify risk areas and potential problems that require proactive attention. -Review artifacts and other project documents and identify potential gaps, inconsistencies, or other issues that may put the project at risk. Such artifacts and documents include but are not limited to: *Application Lifecycle Management Plan *System Security Plan *System Architecture Document *Database Development Plan *Configuration Management Plan *System Requirements *Functional Design Documents *Technical System Design *Data Conversion and Migration Management Plan *Deployment and/or roll-out plans -Identify and escalate to the Senior Manager / Project Manager risks, alternatives, and potential quality issues. -Attend interviews, focus groups, or other meetings necessary to gather information for project deliverables in accordance with the project scope of work. -Attend project meetings with the client, subcontractors, project stakeholders, or other Maximus Team members, as requested by the Senior Manager / Project Manager. -Complete project work in compliance with Maximus standards and procedures. -Support team to complete assigned responsibilities as outlined in the Project schedule. -Support all other tasks assigned by Senior Manager / Project Manager. Minimum Requirements - Bachelor's degree in related field. - 7-10 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. Job Specific Requirements: -Be available to work during standard client business hours. Projects may involve clients from any US time zone, so it is possible that work outside of the individual's local business hours will be required. -Bachelor's degree in computer science, engineering, or science from an accredited college or university, or equivalent work experience. -8+ years of progressive technical experience in technical disciplines and roles. E.g.: *Software Developer to Architect to Manager *Business Analyst to Project Manager to Senior Manager -3+ years working on/with large Health & Human Services (HHS) system modernization projects, to include Child Support, Child Welfare, or Integrated Eligibility (SNAP, TANF, and Medicaid). -Familiar with multiple computer languages. -Familiar with mainframe technologies (e.g. CICS COBOL, NATURAL / ADABAS, VMS, etc.) -Familiar with operating systems: Windows, Linux/UNIX, OS/X. -Familiar with AI tools, capabilities. -Familiar with databases and database tools: DB2, Oracle, MS SQL Server, TOAD. -Strong command of cloud computing topics. -Strong command of agile software development practices as well as waterfall development practices. -Strong desktop software skills: proficient in MS Office, Excel, Word, Project. -Ability to explain and communicate technical subjects to non-technical audiences. -Ability to develop solutions to highly complex problems which require a high degree of ingenuity and innovation. -Ability to ensure solutions are consistent with organization, client, and project objectives and constraints. -Ability to develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills. -Ability to work independently. -Good organizational skills and the ability to manage multiple tasks and deadlines simultaneously. -Strong interpersonal and team building skills, as well as an understanding of client relationship building are essential. -Excellent verbal and writing skills and be comfortable working with customers. -Ability to multi-task with supervision. -Self-motivated fast learner. 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 **************************. Minimum Salary $ 120,000.00 Maximum Salary $ 140,000.00

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. **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: $80,168 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. This position is with the Actuarial Rating Systems Support team and focuses on operational execution for our large group commercial rating engine (ERNIE) . As a Sr. Actuarial Analyst the ideal candidate will project manage and support system enhancements from beginning to end; collaborating with business partners, planning and documenting project technical steps, and moving the improvements through the testing, documentation, and rollout stages. They will also make use of their technical skills and attention to detail in the coordination and implementation of rating changes to our production environment. Actuarial Responsibilities Include: + Defining specifications and documentation for rating methodology changes + Testing and sign-off for ERNIE system enhancements + Creating exhibits to demonstrate rating method results for regulatory/underwriting inquiries + Investigating historical pricing practices across national commercial large group business + Assessing claim impact of benefit relativity changes Technical Responsibilities Include: + Implementation of commercial actuarial rate reviews in ERNIE + Tier 2 technical support for underwriting/actuarial rating issues + Process improvement via SQL and Excel/VBA **Required Qualifications:** + 2 actuarial exams passed and pursuing ASA designation + 2+ years actuarial work experience **Preferred Qualifications:** + Experience with SQL **Education:** + Bachelor's Degree **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $64,890.00 - $173,040.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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: $80,168 - $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.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Business Overview** At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. **Position Summary** We are expanding the Revenue Integrity Analytics & Reporting team to support Medicare Advantage and ACA Risk Adjustment program evaluation activities. This Senior Analyst will serve as a subject matter expert on Medicare Advantage and ACA Risk Adjustment program evaluations and associated data, and will be responsible for: + Compute CMS risk scores using risk adjustment models (MA CMS‑HCC / RxHCC; ACA HHS‑HCC ) + Standardize monthly program evaluation reporting with YOY/MOM trend views + Migrate analytics from SAS to GCP BigQuery/AWS/Python + Monitor data quality and collaborate with submission/finance/actuary on trend changes + Triage stakeholder requests and deliver actionable financial insights to enable decision-making and strategic planning **Required Qualifications** + 3+ years of experience with data processing/analytics. + 1+ years of experience with Python or SAS programming. + 1+ years of experience writing SQL queries. **Preferred Qualifications** + 1+ years of experience in the healthcare industry. + Experience with Cloud technologies (GCP/AWS). + Proficiency in Python programming. + Ability to communicate with both technical and non-technical colleagues. + Experience automating end-to-end processes. **Education** + Bachelor's degree or equivalent work experience required; advanced degree preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/24/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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: $80,168 - $141,371 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.