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Business Operations Analyst jobs at St. Jude Children's Research Hospital - 395 jobs

  • Market Insights Analyst: Data-Driven Health Care Impact

    Cambia Health Solutions, Inc. 3.9company rating

    Portland, OR jobs

    A health care solutions provider is seeking a Market Insights Analyst to analyze data and provide actionable recommendations. The role requires strong analytical and communication skills. Responsibilities include mentoring peers and collaborating with diverse teams. The expected salary range is $64,000 - $81,000/year with a bonus target of 10%. The company offers generous benefits including medical coverage, a 401(k) plan, and paid parental leave. #J-18808-Ljbffr
    $64k-81k yearly 3d ago
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  • Principal Health Business Analytics - Risk Adjustment

    Florida Blue 4.5company rating

    Remote

    The Principal, Health Business Analytics leads analytic strategy and execution for Medicare Risk Adjustment programs, driving insights that optimize revenue, compliance, and operational performance. This role partners with cross-functional leaders to translate complex data into actionable strategies that improve risk score accuracy, evaluate program effectiveness, and support executive decision-making. The Principal Health Business Analyst applies expertise to initiatives of the highest risk, complexity and impact to the business, solves the most critical issues, serves as a strategy influencer, applies knowledge of emerging trends and industry practices and is responsible for coaching, training and providing technical oversight to others. Essential Functions: Lead analytic strategy for risk adjustment and align insights with enterprise financial and compliance goals. Analyze risk score trends, model performance, and program results to identify revenue and quality improvement opportunities. Partner with Finance and Actuarial to forecast revenue and assess CMS model impacts (e.g., V24 → V28). Evaluate vendor, provider, and campaign performance for prospective, retrospective, and encounter programs. Ensure analytic integrity, data accuracy, and compliance with CMS risk adjustment requirements. Deliver clear, actionable insights and visualizations to senior leadership. Mentor analysts and advance the use of predictive modeling, automation, and performance dashboards. The essential functions listed represent the major duties of this role, additional duties may be assigned. Serve as strategy influencer and subject matter expert on assigned projects of high risk, complexity and impact to the business Manipulate data using large datasets and multiple data sources Act as primary Analyst for large projects and proactively identify topics for analysis Analyze or assist in the analysis of processes and programs in achieving stated goals. Provide analyses and recommendations if corrections are needed. Investigates and discovers areas of opportunity. Develop advanced Excel-based models and spreadsheets containing advanced functions that are used to evaluate historical trends and forecasts and to identify best practices. Write advanced SAS and/or SQL programs for data extraction. Integrate data across multiple areas. Modifies existing programs for data extraction Apply risk adjusters when applicable Accountable for developing insightful and actionable summaries and recommending actions Monitor and evaluate patterns, costs and trends. Recommend new analytical processes; partner with Information Management in the development of new analytical tools such as power pivots and analytical cubes to enhance analytical capabilities. Train team members on analytical tools and techniques including complex SAS and/or SQL, advanced Excel and detailed risk/analytical models. Provide guidance and review work of team members. Monitor emerging trends, provides strategy input to Director, prepares benchmarking reports and recommendations Lead development of industry leading analytical methods, tools and models Required Work Experience 8+ years related work experience. Experience Details: Risk Adjustment Related Bachelor's degree or additional related equivalent work experience Experience using algorithms and inferential statistics. Advanced level experience writing SQL /SAS or related code Advanced Excel skills Proficient with Microsoft Office products Ability to manage tasks independently, take ownership of responsibilities and meet deadlines High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy Demonstrated leadership abilities including effective knowledge sharing and conflict resolution Ability to train team members on advanced analytical tools and techniques (complex SAS and/or SQL, advanced Excel and detailed risk/analytical models) In-depth business process knowledge of several key business functional areas Expert-level ability communicating highly complex information clearly and articulately for all levels and audiences Expert innovator with ability to think beyond established standards and processes Expert-level knowledge and experience applying current and emerging trends Expert consulting, negotiating, communicating , consensus building, presentation and facilitation skills 4 or more years of experience with health business Preferred Education Bachelor's degree Business Analytics, Health Economics or similar program Master's degree General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. What We Offer: As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and A comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Annualized Salary Range: $116,500 - $189,300 Typical Annualized Hiring Range: $116,500 - $145,600 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.
    $116.5k-189.3k yearly Auto-Apply 3d ago
  • Principal Health Business Analytics - Risk Adjustment

    Guide Well 4.7company rating

    Remote

    The Principal, Health Business Analytics leads analytic strategy and execution for Medicare Risk Adjustment programs, driving insights that optimize revenue, compliance, and operational performance. This role partners with cross-functional leaders to translate complex data into actionable strategies that improve risk score accuracy, evaluate program effectiveness, and support executive decision-making. The Principal Health Business Analyst applies expertise to initiatives of the highest risk, complexity and impact to the business, solves the most critical issues, serves as a strategy influencer, applies knowledge of emerging trends and industry practices and is responsible for coaching, training and providing technical oversight to others. Essential Functions: Lead analytic strategy for risk adjustment and align insights with enterprise financial and compliance goals. Analyze risk score trends, model performance, and program results to identify revenue and quality improvement opportunities. Partner with Finance and Actuarial to forecast revenue and assess CMS model impacts (e.g., V24 → V28). Evaluate vendor, provider, and campaign performance for prospective, retrospective, and encounter programs. Ensure analytic integrity, data accuracy, and compliance with CMS risk adjustment requirements. Deliver clear, actionable insights and visualizations to senior leadership. Mentor analysts and advance the use of predictive modeling, automation, and performance dashboards. The essential functions listed represent the major duties of this role, additional duties may be assigned. Serve as strategy influencer and subject matter expert on assigned projects of high risk, complexity and impact to the business Manipulate data using large datasets and multiple data sources Act as primary Analyst for large projects and proactively identify topics for analysis Analyze or assist in the analysis of processes and programs in achieving stated goals. Provide analyses and recommendations if corrections are needed. Investigates and discovers areas of opportunity. Develop advanced Excel-based models and spreadsheets containing advanced functions that are used to evaluate historical trends and forecasts and to identify best practices. Write advanced SAS and/or SQL programs for data extraction. Integrate data across multiple areas. Modifies existing programs for data extraction Apply risk adjusters when applicable Accountable for developing insightful and actionable summaries and recommending actions Monitor and evaluate patterns, costs and trends. Recommend new analytical processes; partner with Information Management in the development of new analytical tools such as power pivots and analytical cubes to enhance analytical capabilities. Train team members on analytical tools and techniques including complex SAS and/or SQL, advanced Excel and detailed risk/analytical models. Provide guidance and review work of team members. Monitor emerging trends, provides strategy input to Director, prepares benchmarking reports and recommendations Lead development of industry leading analytical methods, tools and models Required Work Experience 8+ years related work experience. Experience Details: Risk Adjustment Related Bachelor's degree or additional related equivalent work experience Experience using algorithms and inferential statistics. Advanced level experience writing SQL /SAS or related code Advanced Excel skills Proficient with Microsoft Office products Ability to manage tasks independently, take ownership of responsibilities and meet deadlines High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy Demonstrated leadership abilities including effective knowledge sharing and conflict resolution Ability to train team members on advanced analytical tools and techniques (complex SAS and/or SQL, advanced Excel and detailed risk/analytical models) In-depth business process knowledge of several key business functional areas Expert-level ability communicating highly complex information clearly and articulately for all levels and audiences Expert innovator with ability to think beyond established standards and processes Expert-level knowledge and experience applying current and emerging trends Expert consulting, negotiating, communicating , consensus building, presentation and facilitation skills 4 or more years of experience with health business Preferred Education Bachelor's degree Business Analytics, Health Economics or similar program Master's degree General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. What We Offer: As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and A comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Annualized Salary Range: $116,500 - $189,300 Typical Annualized Hiring Range: $116,500 - $145,600 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.
    $116.5k-189.3k yearly Auto-Apply 3d ago
  • Senior Business Operations Consultant (Consumer Digital Innovation) - Remote

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    **Grow your career at Cedars-Sinai!** Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report's "Best Hospitals 2025-2026" rankings . When you join our team, you'll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career. The Consumer Digital Innovation team at Cedars-Sinai understands that true mobile and web transformation and the optimization of a digital platform implementation is fueled through the alignment of the right people, processes, and technologies. **Why work here?** Beyond an outstanding benefit package and competitive salaries, we take pride in hiring the best, most committed employees. Our staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a multifaceted, inclusive environment that fuels innovation and the gold standard of patient care we strive for. **What will you be doing in this role:** The Senior Business Operations (Digital Transformation) Consultant for Consumer Digital Innovation Team is responsible for supporting our digital front door capabilities, access enablement and other initiatives. This role is critical to driving growth, expansion, and innovation of digital capabilities and improving the customer experience at Cedars-Sinai. + Enhance our ability to deliver seamless digital experiences to our patients. + In partnership with product managers, lead the business and clinical operations planning, stakeholder and implementation, change management, and analytics components of consumer-facing digital products and services, ensuring a delightful user experience that drives patient acquisition and retention. + Support the integration of frictionless digital experiences within the organization and collaborate with various digital competencies to define and prioritize product features that cross the portfolio. + Monitoring project schedules, defining appropriate resources, and recommending vital adjustments to improve project efficiency. + Developing metrics and measurements to evaluate the success of digital strategies, products, and services, ensuring continuous improvement and alignment with Cedars-Sinai's strategic goals. _*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas_ * **Qualifications** **Experience Requirements:** Three (3) plus years of experience in consulting, strategy, and/or business development experience in a healthcare organization or consulting organization providing services to the healthcare industry. 5 years experience preferred. Healthcare environment experience required. Familiar working with product and clinical operational teams. Understanding of Web technologies and functions. **Educational Requirements:** Bachelor's degree in Healthcare Leadership/Management, Business, or related field. Master's degree preferred. Project Management Professional (PMP) Certification preferred. \#Li-Remote **Req ID** : 13273 **Working Title** : Senior Business Operations Consultant (Consumer Digital Innovation) - Remote **Department** : CDI Product and Operations **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Strategic Plan / Business Dev **Job Specialty** : Strategic Planning **Overtime Status** : EXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $112,673.60 - $185,910.40 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
    $112.7k-185.9k yearly 26d ago
  • Senior Business Operations Consultant (Consumer Digital Innovation) - Remote

    Cedars-Sinai 4.8company rating

    Remote

    Grow your career at Cedars-Sinai! Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report's “Best Hospitals 2025-2026” rankings. When you join our team, you'll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career. The Consumer Digital Innovation team at Cedars-Sinai understands that true mobile and web transformation and the optimization of a digital platform implementation is fueled through the alignment of the right people, processes, and technologies. Why work here? Beyond an outstanding benefit package and competitive salaries, we take pride in hiring the best, most committed employees. Our staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a multifaceted, inclusive environment that fuels innovation and the gold standard of patient care we strive for. What will you be doing in this role: The Senior Business Operations (Digital Transformation) Consultant for Consumer Digital Innovation Team is responsible for supporting our digital front door capabilities, access enablement and other initiatives. This role is critical to driving growth, expansion, and innovation of digital capabilities and improving the customer experience at Cedars-Sinai. Enhance our ability to deliver seamless digital experiences to our patients. In partnership with product managers, lead the business and clinical operations planning, stakeholder and implementation, change management, and analytics components of consumer-facing digital products and services, ensuring a delightful user experience that drives patient acquisition and retention. Support the integration of frictionless digital experiences within the organization and collaborate with various digital competencies to define and prioritize product features that cross the portfolio. Monitoring project schedules, defining appropriate resources, and recommending vital adjustments to improve project efficiency. Developing metrics and measurements to evaluate the success of digital strategies, products, and services, ensuring continuous improvement and alignment with Cedars-Sinai's strategic goals. *Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas * Experience Requirements: Three (3) plus years of experience in consulting, strategy, and/or business development experience in a healthcare organization or consulting organization providing services to the healthcare industry. 5 years experience preferred. Healthcare environment experience required. Familiar working with product and clinical operational teams. Understanding of Web technologies and functions. Educational Requirements: Bachelor's degree in Healthcare Leadership/Management, Business, or related field. Master's degree preferred. Project Management Professional (PMP) Certification preferred. #Li-Remote
    $112k-157k yearly est. Auto-Apply 27d ago
  • Sr Business Analyst /Product Manager - US

    Photon Group 4.3company rating

    Remote

    About the company Photon.com has emerged as one of the world's largest and fastest-growing Digital Agencies. We work with 40% of the Fortune 100 on their Digital initiatives and are known for our ability to integrate Strategy Consulting, Creative Design, and Technology on a scale. Please visit ************** to learn more about us, how we work, and our customer case studies. (LinkedIn) Job Description: Product Owner - MarTech Domain Position Overview We are seeking an experienced Product Owner (PO) with deep expertise in the MarTech domain to lead business discovery, capability assessment, and roadmap definition for marketing technology transformation initiatives. The PO will partner with client stakeholders, architects, and SMEs to identify gaps in the existing MarTech setup and provide strategic recommendations that enhance marketing effectiveness, personalization, and customer experience. Key Responsibilities Discovery & Requirement Gathering Act as the primary bridge between business stakeholders, marketing teams, and technical teams. Lead workshops and interviews to capture business objectives, pain points, and desired outcomes. Translate business requirements into actionable user stories, acceptance criteria, and backlog items. MarTech Domain Leadership Evaluate the client's current MarTech stack (e.g., MAP, CDP, CRM, CMS, Analytics, Personalization). Identify gaps, redundancies, and underutilized capabilities in the ecosystem. Benchmark client maturity against industry best practices and emerging trends. Provide strategic guidance on tool adoption, integration, and operational processes. Backlog & Roadmap Management Own the product backlog - define, prioritize, and refine epics and user stories. Collaborate with architects (technical, data, integration) to ensure feasibility and alignment. Align roadmap items with business value, marketing goals, and KPIs. Manage trade-offs between quick wins and long-term transformation. Stakeholder Engagement Serve as the voice of the business and marketing teams in technical discussions. Present findings, recommendations, and roadmaps to client leadership. Facilitate alignment between IT, Marketing, Data, and Operations teams. Governance & Delivery Support Define success criteria, KPIs, and measurement framework for MarTech initiatives. Guide implementation teams by clarifying requirements and priorities during sprints. Ensure compliance with regulatory and data governance standards. Qualifications & Experience 7-10 years of professional experience, with 5+ years as a Product Owner / Business Analyst in the MarTech domain. Strong working knowledge of major MarTech platforms such as Adobe Experience Cloud, Salesforce Marketing Cloud, Oracle Eloqua, HubSpot, or similar. Proven track record in MarTech capability assessment and roadmap creation. Hands-on experience in customer journey mapping, personalization, and campaign workflows. Familiarity with data flows, CDPs, consent management, and analytics frameworks. Excellent communication, facilitation, and stakeholder management skills. Agile/Scrum Product Owner certification (preferred). Key Attributes Business-first mindset with strong technical appreciation. Ability to spot gaps and opportunities in MarTech ecosystems. Skilled at balancing quick wins vs. long-term transformation. Confident in presenting to senior business and IT stakeholders. Passion for driving personalized, data-driven customer experiences Compensation, Benefits and Duration Minimum Compensation: USD 48,000 Maximum Compensation: USD 168,000 Compensation is based on actual experience and qualifications of the candidate. The above is a reasonable and a good faith estimate for the role. Medical, vision, and dental benefits, 401k retirement plan, variable pay/incentives, paid time off, and paid holidays are available for full time employees. This position is available for independent contractors No applications will be considered if received more than 120 days after the date of this post
    $95k-134k yearly est. Auto-Apply 24d ago
  • Business Process Analyst - Las Vegas

    Photon Group 4.3company rating

    Remote

    Job Description: Business Process Analyst We are seeking a skilled and detail-oriented Business Process Analyst to join our dynamic team. The ideal candidate will analyze, design, and optimize business processes to enhance operational efficiency, productivity, and quality. This role involves working closely with cross-functional teams, identifying improvement opportunities, and implementing solutions that align with organizational goals. Key Responsibilities: Process Analysis and Improvement: Assess existing business processes and workflows to identify inefficiencies, bottlenecks, and areas for improvement. Develop and document process models, including As-Is and To-Be workflows, using process mapping tools. Requirements Gathering: Collaborate with stakeholders to gather, define, and prioritize business requirements. Translate business needs into functional and technical specifications. Solution Implementation: Work with technical teams to implement process changes, automation, or system enhancements. Ensure new processes and solutions are tested, validated, and aligned with business objectives. Change Management: Facilitate change management initiatives to ensure smooth adoption of new processes. Provide training, documentation, and support to stakeholders and end-users. Performance Monitoring: Define key performance indicators (KPIs) to measure process effectiveness. Monitor and analyze process performance, providing insights and recommendations for continuous improvement. Cross-functional Collaboration: Act as a liaison between business units, IT teams, and external vendors to ensure alignment and effective communication. Lead workshops and meetings to drive consensus on process improvements and priorities. Qualifications and Skills: Education: Bachelor's degree in Business Administration, Management Information Systems, or a related field. Experience: 3+ years of experience in business process analysis, process improvement, or a similar role. Experience with process modeling tools (e.g., Visio, Lucidchart, Bizagi). Technical Skills: Proficiency in project management tools (e.g., JIRA, Trello). Familiarity with ERP or CRM systems (e.g., SAP, Salesforce) is a plus. Analytical Skills: Strong problem-solving skills with the ability to interpret data and draw actionable insights. Soft Skills: Excellent communication and interpersonal skills. Ability to work collaboratively with diverse teams. Strong organizational and time management abilities. Compensation, Benefits and Duration Minimum Compensation: USD 34,000 Maximum Compensation: USD 120,000 Compensation is based on actual experience and qualifications of the candidate. The above is a reasonable and a good faith estimate for the role. Medical, vision, and dental benefits, 401k retirement plan, variable pay/incentives, paid time off, and paid holidays are available for full time employees. This position is available for independent contractors No applications will be considered if received more than 120 days after the date of this post
    $68k-94k yearly est. Auto-Apply 60d+ ago
  • Business Sys Analyst-Conslt

    Seattle Children's Healthcare System 4.3company rating

    Remote

    Seattle Children's Hospital is searching for an Epic Heath Information Module (HIM) Consultant to support faxing, scanning, and release of information workflows. This person will also support coding workflows on a secondary basis. Note: This is a remote position for the following states: WA, AK, MT, GA, & FL. The pay range shown is for Washington and Alaska only. Position requires process and/or application expertise and proficient leadership skills to work with key stakeholders, end users and project team members to identify and resolve issues throughout project phases of assessment, design build, testing, training and implementation. This role is responsible for frequently taking formal or informal lead on project tasks, acting as the "gatekeeper" for target application(s) and mentoring other project analysts as appropriate. This role is distinguished as a limited resource employed to work on the more strategic initiatives or projects as business needs arise. Position provides ongoing support of business application systems as needed in support of production operations (day-to-day sustaining). Required Education and Experience Bachelor's degree in Healthcare, Organizational Development, Nursing, Computer Science, Math, Business or related field, or equivalent training / work experience. Requires at least six (6) years experience in an Information Services environment. Proven experience and knowledge of project management skills, tools and methodologies. Proven experience leading committees, projects and activities. Proven ability to fully use and apply standard principles, theories and concepts related to technical discipline. Experience with clinical, hospital and / or financial applications and / or systems. Experience acting as primary analyst for clinical/hospital and/or financial applications. Epic certified in modules supported or receive certification within 6 months from employment. Required Credentials N/A. Preferred None stated. Compensation Range $118,174.00 - $177,262.00 per year Salary Information This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided. Disclaimer for Out of State Applicants This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors. Benefits Information Seattle Children's offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website ****************************************** About Us Hope. Care. Cure. These three simple words capture what we do at Seattle Children's - to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families' ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho - the largest region of any children's hospital in the country. U.S. News & World Report consistently ranks Seattle Children's among the nation's best children's hospitals. For more than a decade, Seattle Children's has been nationally recognized in key specialty areas. We are honored to be one of the nation's very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest. As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it's delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here. Our Commitment Seattle Children's welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The people who work at Seattle Children's are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves. Seattle Children's is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.
    $118.2k-177.3k yearly Auto-Apply 15d ago
  • Business Analyst/Project Manager_New York

    Photon Group 4.3company rating

    Remote

    We are seeking a hybrid Business Analyst / Project Manager (BA/PM) with deep experience in retail POS systems and mobile application projects, ideally involving React Native and Android-based hardware such as PAX E700. The ideal candidate will play a dual role-driving detailed business analysis and leading project execution-to ensure successful end-to-end delivery. You will act as a strategic bridge between stakeholders, UX, development, QA, and DevOps teams. You'll gather, validate, and manage requirements while also owning project planning, tracking, and stakeholder communication across the software development lifecycle. Key Responsibilities: Business Analysis Responsibilities: Collaborate with Product Owners, UX, and engineering teams to define, document, and validate functional requirements for POS systems (PAX E700 and soft POS) and mobile applications. Create and maintain detailed user stories, acceptance criteria, process flows, and functional documentation using JIRA and Confluence. Work closely with UX/UI and Research teams to ensure requirements are clearly translated into prototypes and final designs. Support QA by reviewing test cases, ensuring requirements traceability, and assisting in defect triage during UAT. Lead and facilitate stakeholder workshops, scope alignment sessions, and requirement walkthroughs. Assist in stakeholder communications, training documentation, and change management activities. Project Management Responsibilities: Define project scope, objectives, and success metrics in alignment with business goals. Develop and maintain detailed project plans, timelines, and milestone tracking using Agile methodologies. Manage sprint planning, backlog grooming, daily stand-ups, retrospectives, and sprint reviews. Track progress and risks, proactively address blockers, and escalate issues when necessary. Serve as the primary point of contact for client and internal stakeholders regarding status, deliverables, and issue resolution. Ensure alignment across cross-functional teams (engineering, design, QA, DevOps) to deliver on-time and within scope. Monitor project health and maintain transparency through reporting, dashboards, and status updates. Required Skills & Experience: 6+ years of experience as a Business Analyst, Project Manager, or hybrid BA/PM in digital or enterprise software projects. Strong domain knowledge in retail POS, mobile apps, and Android-based systems. Hands-on experience with Android POS devices such as PAX E700, soft POS, or similar. Proven track record in Agile (Scrum or SAFe) project delivery. Strong proficiency with JIRA, Confluence, and Agile collaboration tools. Familiarity with React Native, mobile UX best practices, and device-level behavior on Android. Excellent communication, stakeholder engagement, and facilitation skills. Experience in retail, eCommerce, or education sectors. Exposure to usability testing, system integration, API documentation (Swagger), or migration projects. Tools & Platforms: JIRA / Confluence (Project tracking and documentation) Slack / MS Teams (Team communication) Figma (UI collaboration and prototype review) Miro / Lucidchart (Process flows and system diagrams) Swagger (API familiarity is a plus)
    $87k-130k yearly est. Auto-Apply 60d+ ago
  • Business Analyst III - Data Infrastructure & Analytics Team

    Healthright 360 4.5company rating

    San Francisco, CA jobs

    This is a remote position. There is limited expectations for regular in-person, in-office activities. You're not the person who will settle for just any role. Neither are we. Because we're out to create a better world, and that takes a certain kind of person and teams who care about making a difference. Here, you'll bring your professional expertise, talent, and drive to be HR360's new Business Analyst III. The Business Analyst will work closely with HR360's internal and external stakeholders to turn data into information and knowledge that can be used to make sound business decisions. This data helps drive improvement in key business metrics, stakeholder experience and business results. The Business Analyst will also interact with various development teams, project managers, senior management, and external vendors. This individual understands how data is turned into information and knowledge, and how the knowledge supports and enables key business processes. The Business Analyst must develop an in-depth understanding of the business environment and possess both strong analytical and communication skills. Further, the Business Analyst must work well within a team environment. The Business Analyst III has advanced experience in performing business case analyses which measures/quantifies the impact and effectiveness of specific programs and performance. The Business Analyst III works cross functionally and directly supports department leaders in the development, analysis and interpretation of HealthRIGHT's scope of business. Key Responsibilities Provide analytical expertise to leadership in areas critical to the organization's overall strategy and performance. Possess an in-depth understanding of business strategy, processes, services, roadmap, and context in which the business operates to identify opportunities and direct projects. Recommend solutions in areas critical to organization's overall and service line performance to inform agency decisions, strategy, and tactics. Collect, understand, and translate stakeholder requirements into actionable parameters for projects. Design and implement business solutions by building relationships and partnerships with key stakeholders. Develop Return On Investment (ROI) analysis for new strategies to improve organization performance. Maintain clear, accurate project documentation including the development of business cases, proposals, and summaries using project management methodologies. Identify risks and mitigate threats by managing issues and resolutions. Exhibit leadership for business analysts, and broader organization where appropriate. Act as critical liaison between business, technical, program and support teams translating technical ideas and analytical results to non-technical peers and stakeholders across all levels of the organization. Produce understandable reports and presentations that describe and communicate complex findings for a variety of technical and non-technical audiences. Write SQL queries to develop, implement, and utilize databases and reporting tools to extract data, using data analysis programs. Visualize data using Power BI, Excel, or other visualization programs. Check ticking system for incoming requests; provide customer-centered, primary line of support for report/dashboard problems, data requests and other issues. Provide solution by researching problems and questions, diagnosing, troubleshooting, and applying available information and resources. Attend staff meetings, in-service meetings and participate in agency committees and task force activities as required. Demonstrate respectful, professional and appropriate behavior that supports a team oriented work environment. Demonstrate a commitment to the mission, core values and goals of HealthRIGHT 360 including the ability to integrate values of justice, respect, compassion, excellence and stewardship into appropriate programs and services. Other duties as assigned by supervisor. Education and Knowledge, Skills and Abilities Education, Certification, and Experience Required: Bachelor's degree in a quantitative discipline such as Mathematics, Epidemiology, Metrics and Evaluation or Statistics, or equivalent 5 years or more of relevant experience. Proven analytical and quantitative skills, including experience with managing and modeling of large data sets, required. Desired: Master's degree in Public Health, Health Analytics/Informatics or related preferred. 5-7 years of experience analyzing data in a healthcare environment preferred. Intermediate experience with or knowledge of data visualization techniques. Established business acumen including understanding of market dynamics, financial/budget management, data analysis and decision-making. Healthcare coding conventions and health plans experience a plus. 3+ years of experience designing, writing, and maintaining Epic reports and dashboards desired. Certification or knowledge of Epic Cogito, Caboodle data model, SlicerDicer, or Clarity data model a plus. Background Clearance: Must not be on active parole or probation, clear with OIG database. Ability to obtain and maintain satisfactory background check. Knowledge Required: Advanced ability to operate computers and related software programs including Word, Excel, Outlook and other Microsoft Office applications. Experience writing SQL queries to develop, implement, and utilize databases and reporting tools to extract data. Experience conducting analyses using data analysis programs. Experience visualizing data using Power BI, Excel, or other visualization programs. Demonstrated healthcare experience in quantifying, measuring and analyzing financial and utilization metrics of healthcare. Skills and Abilities Required: Ability to read, analyze, and interpret common industry related journals, financial reports, and legal documents. Ability to respond to common inquiries from customers, regulatory agencies, or members of the business community. Ability to effectively present information to top management, clients, and/or external groups. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. We will consider for employment qualified applicants with arrest and conviction records.
    $71k-90k yearly est. Auto-Apply 60d+ ago
  • Principal IS Business Analyst - Clinical Study Design and Analysis

    Amgen 4.8company rating

    Remote

    Career CategoryInformation SystemsJob Description Join Amgen's Mission of Serving Patients At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives. Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career. Principal IS Business Analyst - Clinical Study Design and Analysis What you will do Let's do this. Let's change the world. Amgen is seeking a Principal IS Business Analyst to join the Clinical Study Design and Analysis (CSDA) product team. You will be responsible for "Run" and "Build" project portfolio execution, collaborate with business partners and other IS service leads to deliver IS capability and roadmap in support of business strategy and goals. The role leverages domain and business process expertise to detail product requirements as epics and user stories, along with supporting artifacts like business process maps, use cases, and test plans for the software development teams. This role involves working closely with developers and business analysts to ensure that the technical requirements for upcoming development are thoroughly elaborated. This enables the delivery team to estimate, plan, and commit to delivery with high confidence and identify test cases and scenarios to ensure the quality and performance of IT Systems. You will collaborate with Product Managers and developers to maintain an efficient and consistent process, ensuring quality deliverables from the team. Roles & Responsibilities: Collaborates with System Architects and Product Managers to manage business analysis activities, ensuring alignment with engineering and product goals. Captures the voice of the customer to define business processes and product needs. Works with Product Managers and customers to define scope and value for new developments. Collaborates with Engineering and Product Management to prioritize release scopes and refine the product backlog. Ensures non-functional requirements are included and prioritized in the product and release backlogs. Facilitates the breakdown of epics into features and sprint-sized user stories and participates in backlog reviews with the development team. Clearly expresses features in user stories and requirements so all team members and stakeholders understand how they fit into the product backlog. Translates complex business and technological needs into clear, actionable requirements for development teams. Ensures acceptance criteria and definition of done are well-defined. Works closely with UX to align technical requirements, scenarios, and business process maps with user experience designs. Stays focused on software development to ensure it meets requirements, providing proactive feedback to stakeholders. Develops and executes effective product demonstrations for internal and external stakeholders. Maintains accurate documentation of configurations, processes, and changes. Serves as a liaison between global DTI functional areas and global development scientists, prioritizing their needs and expectations. Manages a suite of custom internal platforms, commercial off-the-shelf (COTS) software, and systems integrations. What we expect of you We are all different, yet we all use our unique contributions to serve patients. The professional we seek is an individual with these qualifications. Basic Qualifications: Doctorate degree and 2 years of Life Science/Biotechnology/Pharmacology/Information Systems experience OR Master's degree and 4 years of Life Science/Biotechnology/Pharmacology/Information Systems experience OR Bachelor's degree and 6 years of Life Science/Biotechnology/Pharmacology/Information Systems experience OR Associate's degree and 10 years of Life Science/Biotechnology/Pharmacology/Information Systems experience OR High school diploma / GED and 12 years of Life Science/Biotechnology/Pharmacology/Information Systems experience Preferred Qualifications: Must-Have Skills: Excellent problem-solving skills and a passion for tackling complex challenges in drug discovery through technology. Experience with Agile software development methodologies (Scrum). Excellent communication skills and the ability to interface with senior leadership with confidence and clarity. Experience in writing requirements for the development of modern web applications. Experience in writing user requirements and acceptance criteria in Agile project management systems such as JIRA. Good-to-Have Skills: Demonstrated expertise in a clinical development domain and related technology needs. Experience in managing product features for PI planning and developing product roadmaps and user journeys. Familiarity with low-code and no-code test automation software. Technical thought leadership. Ability to communicate technical or complex subject matters in business terms. Experience with Jira Align. Knowledge of cloud platforms (AWS, Azure/Databricks, GCP) and enterprise infrastructure technologies. Experience with DevOps, continuous integration, and continuous delivery methodologies. Professional Certifications: SAFe for Teams certification (preferred). Soft Skills: Able to work under minimal supervision. Skilled in providing oversight and mentoring team members, with a demonstrated ability to delegate work effectively. Excellent analytical and gap/fit assessment skills. Strong verbal and written communication skills. Ability to work effectively with global, virtual teams. High degree of initiative and self-motivation. Ability to manage multiple priorities successfully. Team-oriented with a focus on achieving team goals. Strong presentation and public speaking skills. What you can expect of us As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we'll support your journey every step of the way. The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications. In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan Stock-based long-term incentives Award-winning time-off plans Flexible work models, including remote and hybrid work arrangements, where possible Apply now and make a lasting impact with the Amgen team. careers.amgen.com In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Application deadline Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position. As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease. Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. . Salary Range 143,358.00 USD - 173,256.00 USD
    $113k-142k yearly est. Auto-Apply 4d ago
  • Healthcare Data Analyst II

    Moda Health 4.5company rating

    Portland, OR jobs

    Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary The Healthcare Data Analyst is a critical resource in our efforts to manage health care costs, improve quality, and enhance the experience of both the member and the care team, through sophisticated analysis and communication of health care data. This is a FT WFH role. Pay Range $70,579.27 - $88,224.08 annually (depending on experience). *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27765790&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Bachelor's degree or equivalent experience. Minimum 3-5 years' experience in financial analysis or other data analysis role. Experience with health care data preferred. Demonstrated ability to use data to influence organization strategy, workflows, or results Strong analytical and problem solving skills Strong verbal, written and interpersonal communication skills. Experience with using data analysis tools such as SAS, SQL, Microsoft Access, Business Objects, Crystal Reports, or other similar applications. Strong Microsoft Excel skills. Ability to work well under pressure and with constantly shifting priorities. Ability to project a professional image and maintain complete confidentiality. Primary Functions: Under general supervision, performs complex research and analysis of healthcare claims, enrollment, and other related data, to report on network utilization, cost structure, and/or quality. Combines and transforms data from multiple tables, databases, and/or systems. Has a high level of understanding of data sources, flow, and limitations. Is able to develop reports and processes that appropriately integrate data from multiple sources. Evaluates, writes, presents, and provides recommendations regarding healthcare utilization, quality measure, and cost containment reports. Meets with internal customers to brainstorm what kind of information/report is needed for each situation. Thinks creatively about how to solve a problem or meet a specific business need, given the data available. Makes presentations to internal & external stakeholders about health care cost and utilization. Presents data in a compelling way that highlights the opportunities at hand - whether in making comparisons to benchmarks, pointing out anomalies, displaying trends over time, or using other creative analytical tools. Collaborates with the other members of the Analytics team to expand analytical capabilities, methods, and toolkits. May provide guidance or expertise to less experienced analysts. Other Duties as assigned Working Conditions: Prolong keyboard and PC work in a constant seated position. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.
    $70.6k-88.2k yearly Easy Apply 60d+ ago
  • Healthcare Data Analyst II

    Moda Health 4.5company rating

    Portland, OR jobs

    Job Description Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary The Healthcare Data Analyst is a critical resource in our efforts to manage health care costs, improve quality, and enhance the experience of both the member and the care team, through sophisticated analysis and communication of health care data. This is a FT WFH role. Pay Range $70,579.27 - $88,224.08 annually (depending on experience). *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27765790&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Bachelor's degree or equivalent experience. Minimum 3-5 years' experience in financial analysis or other data analysis role. Experience with health care data preferred. Demonstrated ability to use data to influence organization strategy, workflows, or results Strong analytical and problem solving skills Strong verbal, written and interpersonal communication skills. Experience with using data analysis tools such as SAS, SQL, Microsoft Access, Business Objects, Crystal Reports, or other similar applications. Strong Microsoft Excel skills. Ability to work well under pressure and with constantly shifting priorities. Ability to project a professional image and maintain complete confidentiality. Primary Functions: Under general supervision, performs complex research and analysis of healthcare claims, enrollment, and other related data, to report on network utilization, cost structure, and/or quality. Combines and transforms data from multiple tables, databases, and/or systems. Has a high level of understanding of data sources, flow, and limitations. Is able to develop reports and processes that appropriately integrate data from multiple sources. Evaluates, writes, presents, and provides recommendations regarding healthcare utilization, quality measure, and cost containment reports. Meets with internal customers to brainstorm what kind of information/report is needed for each situation. Thinks creatively about how to solve a problem or meet a specific business need, given the data available. Makes presentations to internal & external stakeholders about health care cost and utilization. Presents data in a compelling way that highlights the opportunities at hand - whether in making comparisons to benchmarks, pointing out anomalies, displaying trends over time, or using other creative analytical tools. Collaborates with the other members of the Analytics team to expand analytical capabilities, methods, and toolkits. May provide guidance or expertise to less experienced analysts. Other Duties as assigned Working Conditions: Prolong keyboard and PC work in a constant seated position. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.
    $70.6k-88.2k yearly Easy Apply 16d ago
  • Analyst Quality Improvement

    Alignment Healthcare 4.7company rating

    Portland, OR jobs

    Virtual Concierge Navigator, Medical Asst. External Description: Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time. By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. Position Summary: This position is responsible for supporting the CMS Star program improvements through data analysis. In collaboration with the Quality Improvement Supervisor, analyze complex data and information to provide meaningful results, identifying success factors and improvement opportunities, and suggesting potential solutions. This position will leverage data from internal and external sources, understand relevant differences between each data source, and provide meaningful/actionable interpretation of results. This position will support the identification and development of databases to support business functions for the Medicare products, using enrollment, medical and pharmacy claims information. This position will be supporting analytical projects in AHC's Quality Improvement Medicare Stars team and will be responsible for conducting effectiveness studies on various program/campaigns to improve Stars Rating. Medicare stars team is engaged in all aspects of the analytic lifecycle from program ideation, financial support to the implementation and provides an open environment to identify/implement new studies. The individual in this position will take a lead in providing recommendations based on the analytic findings. General Duties/Responsibilities: (May include but are not limited to) Performs complex analysis of the data. Research, analyze, and interpret statistical data and provides technical assistance to other staff. Acts as a resource for other members within AHC on business issues and may be responsible for training and guidance of other employees. Investigates opportunities for expanded data collection that are needed elements for CMS Star Rating Measures. Independently manages the retrieval and analysis of data, and issues that may arise on multiple tasks or projects with limited management involvement. Support of Medicare Stars business initiatives that drive short- and long-term objectives towards achieving the overall 5 Star goal. Designs and conducts analyses and outcome studies using healthcare claims, pharmacy and lab data, employing appropriate research designs and statistical methods. Develops, validates and executes algorithms that answer applied research and business questions. Minimum Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum Experience: -year healthcare analytics or related job experience. Education/Licensure Bachelor's degree in a quantitative field such as statistics, mathematics, or public health Other: Demonstrated analytic and problem-solving skills Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access Basic to intermediate knowledge of SQL or PowerBI Demonstrated ability to design, evaluate and interpret complex data sets. Demonstrated ability to handle multiple tasks with competing priorities. Excellent written and verbal communication skills and with an ability to interpret and communicate analytical information to both individuals and groups in a clear and concise manner. Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical and/or clinical. Preferred: Knowledge of health care performance measurement; CMS STAR ratings strongly preferred. Knowledge of HEDIS measures or clinical metrics. Demonstrated ability to present complex technical information to non-technical audiences and to senior decision-makers. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ****************** . City: Portland State: Oregon Location City: Portland Schedule: Full Time Location State: Oregon Community / Marketing Title: Analyst Quality Improvement Company Profile: Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time. By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. EEO Employer Verbiage: On August 17, 2021, Alignment implemented a policy requiring all new hires to receive the COVID-19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignment's ongoing efforts to ensure the safety and well-being of our staff and community, and to support public health efforts. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ******************.
    $84k-101k yearly est. Easy Apply 60d+ ago
  • Franchise Business Consultant - Midwest

    American Family Care 3.8company rating

    Denver, CO jobs

    American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers compensation and occupational medicine. Each location is equipped with an onsite lab and in house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF) and this position will be in that division, working directly with franchise owners of American Family Care centers. Summary AFCF is looking to fill a Franchise Business Consultant (FBC) role to cover our Midwest region. The FBC directly reports to a Director of Regional Operations and provides operational analysis and educational training while being responsible for maintaining and enhancing existing business operations of franchise centers by working with franchisees to maximize the revenue and profitability of the center/territory through corporate program promotions, marketing, building & improving best practices and processes, business strategies, and ongoing training. Essential Duties and Responsibilities Conduct regular on-site visits and audits of assigned Franchise locations Conduct Consultation calls on a regular basis regarding marketing/advertising planning, Go Live training, Grand Opening events, coaching and role playing, customer/patient relations improvement, profit/loss review and analysis including projections, and medical office operations management support Monitor the financial status, operations, staffing, paid advertising, and overall management of assigned Franchise locations Run reports in various systems and review KPIs Cultivate and preserve Franchisee/vendor relationships Support Franchisee during pre-opening phase including, but not limited to, assisting with site selection, floor plan approval, practice management software training, and business planning Develop a strategic plan and translate that plan into the appropriate sales activities Coordinate all training activities with the appropriate departments/individuals and ensure that all training materials and resources have been directed to the appropriate parties Conduct on-site educational workshops with Franchise groups. Provide necessary counsel and assistance to Franchisees for development and improvement of business plans, including, establishing specific goals, objectives and strategies for sales, controls, profits, human resource plans, development, marketing, etc Ensure physical facilities of assigned Franchisee locations comply with Franchisor standards. Coordinate any and all resources/support from all appropriate departments for assigned Franchisees Complete any and all month end reports, new store follow-up reports, weekly expense reports, preparation of classes, etc. Strictly adhere to Company and departmental policies and procedures regarding the appropriate use of Company databases Develop and maintain proficiency in the use of the Companys database. Ensure implementation of all company policies, procedures, programs and new concepts with assigned Franchisee locations Other duties and responsibilities as assigned. Qualifications Ability to travel up to 50% of time Superior people skills Well-developed oral and written communication skills Strong listening and negotiation skills Dynamic presentation skills Educational Requirements Bachelors Degree in Business Administration, Business Management, Health Care Management or related field Medical office experience preferred Minimum 3 years Business Management and/or Franchising Experience required This is a remote position.
    $102k-150k yearly est. 25d ago
  • Senior Finance Systems Analyst

    Billiontoone 4.1company rating

    Remote

    Ready to redefine what's possible in molecular diagnostics? Join a team of brilliant, passionate innovators who wake up every day determined to transform healthcare. At BillionToOne, we've built something extraordinary-a culture where transparency fuels trust, collaboration drives breakthroughs, and every voice matters in our mission to make life-changing diagnostics accessible to all. We don't just aim for incremental improvements; we strive to build products that are 10x better than anything that exists today. Our people are our greatest asset: talented scientists, engineers, sales professionals, and visionaries united by an unwavering commitment to changing the standard of care in prenatal and cancer diagnostics. This is where cutting-edge science meets human compassion-every innovation you contribute helps remove fear of unknown from some of life's most critical medical moments. If you're driven by purpose, energized by innovation, and ready to help build the future of precision medicine, this is where you belong. BillionToOne is seeking a Senior Finance Systems Analyst who will play a pivotal role in driving technology solutions across our finance function. This is a hands-on manager-level role, responsible for the administration, optimization, and integration of financial systems to support scaling operations and compliance with public company standards. You'll act as the key liaison between Accounting, Billing, and IT to ensure that systems and projects are aligned with business goals and internal control requirements. Your expertise in ERP systems, audit compliance, and cross-functional collaboration will be essential in enhancing the efficiency, accuracy, and control of our financial processes. Responsibilities: Financial Systems Support & Administration Assist with the administration and day-to-day support of financial technologies, including ERP systems and related finance tools. Manage NetSuite configurations such as workflows, saved searches, roles, and user access under guidance from senior team members. Support implementation and enhancement of system features and integrations across Finance and Supply Chain. Identify opportunities to streamline processes and improve automation within finance systems. Assist with data integrity, system maintenance, and troubleshooting for finance-related applications. Support data integrations and work with IT on resolving integration-related issues. Cross-Functional Partnership Work with Accounting, HR, Billing, and IT to translate business needs into system requirements and functional updates. Assist Accounting during the monthly/quarterly close cycle by ensuring data accuracy and addressing system-related issues. Support reporting, analysis, and planning tool integrations as needed. Contribute to documentation of system requirements, test cases, and change requests. Help coordinate system updates, testing, and deployment activities for finance system initiatives. Compliance & Controls Maintain systems and processes in alignment with internal control frameworks and SOX readiness efforts. Support audit activities by preparing system documentation, ensuring accuracy of financial system data, and providing required system access evidence. Assist in maintaining IT SOX documentation related to finance systems. Qualifications: 4-5+ years of experience supporting financial systems, preferably with hands-on NetSuite administration. Experience supporting financial audits and understanding of internal controls (SOX exposure preferred). Bachelor's degree in Accounting, Information Systems, Computer Science, or a related field. Strong understanding of financial processes and reporting requirements. Demonstrated ability to support finance system enhancements and assist with system projects. Excellent analytical and problem-solving skills with strong attention to detail. Ability to manage multiple priorities and work in a fast-paced, dynamic environment. Strong communication skills and ability to work cross-functionally with both technical and non-technical teams. Experience with AI tools and automation. Benefits And Perks: Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients Open, transparent culture that includes weekly Town Hall meetings The ability to indirectly or directly change the lives of hundreds of thousands patients Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80% Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%) Supplemental fertility benefits coverage Retirement savings program including a 4% Company match Increase paid time off with increased tenure Latest and greatest hardware (laptop, lab equipment, facilities) Daily on-site lunches provided from top eateries A variety of perks on campus (state of the art gym, restaurant) Free on-site EV charging (compatible with all EVs, including Tesla) At BillionToOne, we are proud to offer a combination of a (1) base pay range (actual amount offered is based on experience and salary/equity options split that the candidate chooses), (2) generous equity options offering, (3) corporate bonus program, on top of (4) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave, etc.). For this position, we offer a total compensation package of $171,009 per year, including a base pay range of $116,161 - $137,281 per year. BillionToOne is 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. For more information about how we protect your information, we encourage you to review our Privacy Policy. About BillionToOne BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Our revolutionary QCT molecular counting technology enhances disease detection resolution by over a thousandfold using cell-free DNA-a breakthrough that's already transformed the lives of over half a million patients worldwide. Our Impact: We've pioneered game-changing diagnostic solutions that are redefining industry standards. Unity Complete™ stands as the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample. In oncology, our Northstar liquid biopsy test uniquely combines treatment selection with real-time monitoring, giving oncologists unprecedented precision in cancer care. Our Growth: From $0 to $125 million in Annual Recurring Revenue in just four years. We've raised close to $400 million in funding, including a $130 million Series D round in June 2024, achieving a valuation of over $1 billion. This backing comes from world-class investors including Hummingbird, Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest. Our Recognition: Forbes recently named us one of America's Best Startup Employers for 2025, and we were awarded Great Place to Work certification in 2024-with an incredible 100% of our people reporting they are willing to give extra to get the job done. These honors recognize not just our innovation but the exceptional culture we've cultivated-one that remains authentically collaborative and transparent even as we've scaled. Our Future: Headquartered in Menlo Park with facilities in Union City, California, we're continuing to push the boundaries of what's possible in molecular diagnostics. Recent clinical outcomes data for Unity Fetal Risk Screen and new advances in cancer diagnostics prove we're just getting started. At BillionToOne, you'll join a diverse team of passionate innovators who believe that the best science happens when brilliant minds collaborate openly, think boldly, and never lose sight of the patients whose lives depend on our work. Ready to help us change the world, one diagnosis at a time? Learn more at ********************
    $116.2k-137.3k yearly Auto-Apply 3d ago
  • RN- Emergency Department - Virtual Care Subject Matter Expert 3 Day Workshop

    Interim Healthcare 4.7company rating

    Remote

    RN- Emergency Department - Virtual Care- (Telehealth Setting) SME 3 - Day Workshop Ready to share your expertise and make an impact-without leaving home? You MUST currently work in the ER in a VIRTUAL/Telehealth role with 2 years experience in the last 5 years. If you're an RN in the Emergency Department providing Virtual Care looking for a unique opportunity to apply your knowledge in a new and rewarding way, this is for you! We're seeking experienced Registered Nurse with a passion for excellence to serve as Subject Matter Experts (SMEs) for a 3-day remote workshop. Your insights will help shape the future of healthcare assessments-all from the comfort of your home. Workshop Schedule: When: May 19th, 20th, 21th, 2026 Time: 9:00 am - 4:00 pm EST Where: Remote via Microsoft Teams meeting What We're Looking For: Registered Nurse (RN) with 2+ years of Emergency Department experience in a role VIRTUAL ROLE within the last 5 years. Ability to commit to uninterrupted participation during workshop hours Access to Microsoft Teams via personal laptop or desktop Must have an updated, professional resume with dates included Skills: Clear communication, collaborative mindset, and ability to work independently. What You'll Do: Join a workshop of like professionals to discuss and research information in your field of study. Participate in discussions, take exams and review content related to the development of assessments. Why You'll Love It: Excellent Pay - Your expertise is valuable, and we show it. 1099 Independent Contractor $43.00 an hr. Remote Work - Work from anywhere. Unique Opportunity - Apply your clinical expertise in a fresh, impactful way. Join the ranks of other professionals in our roster for other similar workshops and possible remote clinical content writing/reviewing in the future based on your skill set Make the leap today-turn your knowledge into impact! Apply now and help shape the future of home health care. Why Interim HealthCare? Founded in 1966, Interim HealthCare is the nation's first home care company. Operating through 300+ offices, our commitment to medical professionals is expressed through our passion to put patients first; a culture that values and appreciates all; and our ongoing efforts to advocate for medical professionals in ways that elevate their profession and reward their sacrificial work. Join a nationwide network of medical professionals who have rediscovered the passion that led them to healthcare. Interim HealthCare provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, gender, religion, sexual orientation, national origin, age, disability or veteran status.
    $43 hourly Auto-Apply 23d ago
  • Business Systems Manager

    Marathon Health 4.0company rating

    Remote

    Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual primary care and mental health services accessible in all 50 states. Transforming healthcare delivery with a patient-first approach, we prioritize convenient access to both in-person and virtual care, resulting in improved health outcomes and significant cost savings. Committed to inclusivity and collaboration, we foster a positive work environment and recruit exceptional talent to ensure expertise and compassion in healthcare delivery. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services. ABOUT THE JOB The Manager of Salesforce Engineering leads the team responsible for engineering, delivery, and operations of our Salesforce platform. This leader will be instrumental in scaling and optimizing our internal applications to meet the growing needs of the business. The role requires strong engineering fundamentals, hands-on Salesforce expertise, and a proven ability to collaborate across departments. This individual will guide the team to deliver secure, high-performance, and scalable solutions aligned to business strategy and will cultivate a culture of innovation, execution, and accountability. ESSENTIAL DUTIES & RESPONSIBILITIES Own the strategy, development, and ongoing enhancement of the Salesforce platform, ensuring alignment with Marathon Health's business objectives and scalability for growth. Lead and mentor a team of Salesforce engineers and administrators, including contractors, fostering a culture of ownership, collaboration, and continuous improvement. Serve as the primary liaison between engineering and business stakeholders across departments such as Sales, Marketing, Client Success, and Finance to gather requirements and translate them into effective technical solutions. Drive the implementation of Salesforce best practices, including secure development, code reviews, release management, and documentation standards. Establish and maintain agile delivery processes, managing sprint cycles, backlogs, and platform KPIs to optimize team performance and project throughput. Oversee the configuration, customization, and integration of Salesforce with other enterprise systems and tools to create seamless workflows and data interoperability. Ensure platform reliability, data integrity, and compliance with applicable standards such as HIPAA and SOX by implementing robust monitoring and governance practices. Stay ahead of Salesforce ecosystem advancements and make informed recommendations on new tools, technologies, and architectural patterns to improve platform capabilities. Manage platform budgets, vendor relationships, licensing, and contract resources to ensure cost-effective operations and high service levels. Champion a DevOps mindset within the team, leveraging CI/CD pipelines and automation to accelerate delivery and minimize risk. QUALIFICATIONS Bachelor's Degree in Computer Science, Engineering, Information Systems, or a related technical discipline and 5+ years of hands-on experience developing and supporting Salesforce applications, including custom objects, Apex, Lightning Components, integrations, and third-party tools, or equivalent combination of education and experience. 3+ years in a leadership role, managing Salesforce engineering teams and/or external contractors in a fast-paced, agile environment. Additional Qualifications: Proven ability to translate complex business requirements into scalable, maintainable Salesforce solutions. Strong understanding of Salesforce platform architecture, security model, and development lifecycle. Experience managing Salesforce DevOps workflows including CI/CD tools such as github Demonstrated success leading cross-functional initiatives and collaborating with non-technical stakeholders to deliver business value. Salesforce certifications strongly preferred, including: Salesforce Platform Developer I & II Salesforce Administrator or Advanced Administrator Salesforce Application Architect or System Architect Salesforce Sales/Service Cloud Consultant (a plus) Familiarity with Agile frameworks and tools such as Azure Dev Ops for sprint planning, backlog grooming, and reporting. Strong communication, organizational, and coaching skills, with a bias for action and a continuous improvement mindset. DESIRED ATTRIBUTES A hands-on leader who is comfortable engaging directly in engineering discussions, troubleshooting efforts, and architectural decisions while developing team talent. Strategic mindset with the ability to balance short-term priorities and long-term platform planning aligned to business growth. Strong analytical skills with a data-driven approach to prioritization, sprint planning, and team performance management. Proven ability to lead change by introducing new tools, practices, or processes and driving adoption across teams. Excellent verbal and written communication skills, with the ability to clearly convey technical concepts to non-technical stakeholders. Deep commitment to user experience and service excellence, keeping the needs of internal stakeholders and the mission of improving patient care at the center of decision making. Demonstrates integrity and alignment with Marathon Health's values, including Teamwork, Courage, Service Excellence, Bias to Act, Joy, and Empathy. Security-conscious and experienced with building systems that comply with HIPAA, SOX, and enterprise security standards. Dedicated to continuous learning, staying current with Salesforce innovations, DevOps practices, and evolving healthcare technologies. Invested in team development, fostering a collaborative and inclusive environment that supports professional growth and innovation. Pay Range: $120,000 - $140,000/yr The actual offer may vary dependent upon geographic location and the candidate's years of experience and/or skill level. This position is also eligible for an annual incentive. We are accepting applications for this position until a candidate has been selected. To apply to this position and learn more about open jobs at Marathon Health, visit our careers page. JK1
    $120k-140k yearly Auto-Apply 60d+ ago
  • Franchise Business Consultant - Midwest

    American Family Care 3.8company rating

    Denver, CO jobs

    About American Family Care American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers compensation and occupational medicine. Each location is equipped with an onsite lab and in house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF) and this position will be in that division, working directly with franchise owners of American Family Care centers. Summary AFCF is looking to fill a Franchise Business Consultant (FBC) role to cover our Midwest region. The FBC directly reports to a Director of Regional Operations and provides operational analysis and educational training while being responsible for maintaining and enhancing existing business operations of franchise centers by working with franchisees to maximize the revenue and profitability of the center/territory through corporate program promotions, marketing, building & improving best practices and processes, business strategies, and ongoing training. Essential Duties and Responsibilities Conduct regular on-site visits and audits of assigned Franchise locations Conduct Consultation calls on a regular basis regarding marketing/advertising planning, Go Live training, Grand Opening events, coaching and role playing, customer/patient relations improvement, profit/loss review and analysis including projections, and medical office operations management support Monitor the financial status, operations, staffing, paid advertising, and overall management of assigned Franchise locations Run reports in various systems and review KPIs Cultivate and preserve Franchisee/vendor relationships Support Franchisee during pre-opening phase including, but not limited to, assisting with site selection, floor plan approval, practice management software training, and business planning Develop a strategic plan and translate that plan into the appropriate sales activities Coordinate all training activities with the appropriate departments/individuals and ensure that all training materials and resources have been directed to the appropriate parties Conduct on-site educational workshops with Franchise groups. Provide necessary counsel and assistance to Franchisees for development and improvement of business plans, including, establishing specific goals, objectives and strategies for sales, controls, profits, human resource plans, development, marketing, etc Ensure physical facilities of assigned Franchisee locations comply with Franchisor standards. Coordinate any and all resources/support from all appropriate departments for assigned Franchisees Complete any and all month end reports, new store follow-up reports, weekly expense reports, preparation of classes, etc. Strictly adhere to Company and departmental policies and procedures regarding the appropriate use of Company databases Develop and maintain proficiency in the use of the Company's database. Ensure implementation of all company policies, procedures, programs and new concepts with assigned Franchisee locations Other duties and responsibilities as assigned. Qualifications Ability to travel up to 50% of time Superior people skills Well-developed oral and written communication skills Strong listening and negotiation skills Dynamic presentation skills Educational Requirements Bachelor's Degree in Business Administration, Business Management, Health Care Management or related field Medical office experience preferred Minimum 3 years Business Management and/or Franchising Experience required This is a remote position. Compensation: $80,000.00 - $90,000.00 per year We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.
    $80k-90k yearly Auto-Apply 23d ago
  • Lead Business Consultant - Medicare Part D Pharmacy

    Health Care Service Corporation 4.1company rating

    Nashville, TN jobs

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and initiatives in support of assigned line of business strategy and multi-year plan. Oversees the day-to-day activities of project delivery and contingency execution strategy, vendors relationship management, and business partner engagement while managing various enterprise-wide projects or initiatives. Ensures integration between partner teams and serves as a functional business liaison in the development and implementation of program scope, timing, and budgets as needed, based on the needs of the business. Providing a blend of technical and business acumen to drive the design, development and implementation of strategic IT projects. Building a sufficient level of knowledge of IT products and LOB to enable targeted probing of delivery feasibility and conflicts with other projects. Setting and managing customer expectations; managing and escalating issues and changes. Responsible for tracking key program milestones and recommending adjustments to program leadership and team. It takes innovation, imagination, and a passion for solving problems in new and better ways. **Required Job Qualifications:** + Bachelor's degree and 7 years of experience OR 11 years of experience in project management, business analysis, process improvement, strategic planning, product administration or other relevant healthcare function + 4 years of experience leading with large and complex multi-million-dollar projects. + Demonstrated experience leading, coaching, and mentoring teams and more junior resources + Experience communicating with senior management and executive leadership from multiple divisions. + Experience developing and delivering presentations to an executive audience. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Experience managing and delegating assignments across multiple complex projects successfully in a matrixed environment. + Advanced MS Office products. + Organizational skills. + Problem resolution experience and skills. + Negotiations skills. + Analytical skills. + Detail oriented. **Preferred Job Qualifications:** + Ability to influence (direct / indirect reports, project stakeholders and leaders), and manage in a matrix organization + Analytical/critical thinking and problem-solving skills; agility and flexibility to adapt to constantly changing priorities + Experience in negotiation, managing conflict, and organizational / political savvy + Structured, organized and methodical in execution, takes ownership and accountability for outcomes, drives for results and drives certainty in delivery; able to manage multiple parallel efforts ad deliver quality deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience + Advanced analytical skills, databases medical/pharmacy data + Experience driving personalization efforts at a large organization. + Monitoring and tracking initiative impacts against the personalization maturity curve and connecting them to key enterprise outcomes. + Health insurance or healthcare industry experience. + Proven strategic thinking and execution. + Ability to drive decisions, create optionality and determine impacts of options. + Ability to clearly articulate and prepare presentations for all levels to share data, options and recommendations. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** \#LI-PD1 \#LI-Hybrid INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $90,900.00 - $164,200.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $90.9k-164.2k yearly 26d ago

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