Controller jobs at Tenet Healthcare - 40 jobs

Patient Account Lead Representative - Remote
Tenet Healthcare Corporation 4.5
Controller job at Tenet Healthcare
Responsible for providing assistance, coaching and training to staff members, including new hires. They support and assist the Team, the Supervisor and Management with complex inventory and issue resolution. Responsible for all aspects of the billing, follow up and collection activity for payers that are Supplemental to Medicare. May maintain a large dollar inventory desk or complex accounts as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. May assist in special projects as assigned my management, including acting as a point of contact for internal operational questions. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites. May maintain a large dollar inventory desk as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary. Accurately and thoroughly document the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory. Proactively identify issues or trending and provide suggestions for resolution. * Provide assistance, coaching and training to staff members, including new hires. Provide enhanced training and assist staff with techniques to increase production, quality and collections. Participate in the new hire peer interviewing process. Assist in special projects assigned by management. * Participate and attend meetings, training seminars and in-services to develop job knowledge. Attend various conference calls, webinars or advanced training to provide assistance to the team members. Respond timely to emails and telephone messages from the staff, management and the client. Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions. FINANCIAL RESPONSIBILITY (specify Revenue/Budget/Expense): $2.5 million R&D Budget KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Very good written and verbal communication skills * Strong interpersonal skills * Advanced technical skills including PC and MS Outlook * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Advanced knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High school diploma or equivalent education * 3-6 years experience in Medical/Hospital Insurance related collections PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. * Office/Teamwork Environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
$20.5-30.8 hourly 10d ago

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Director, Finance (NY Health Plan) - REMOTE
Molina Healthcare 4.4
Cleveland, OH jobs
Leads and directs team responsible for finance activities including financial analysis, reporting, forecasting, trending and modeling. Duties include interpreting and evaluating information for future business decisions such as new product development, marketing strategies and investments, financial regulations, and similar financial projects or programs. **Essential Job Duties** + Prepare schedules and worksheets for the Plan's regulatory financial reporting requirements. + Coordinate, research and respond to follow-up questions from state and federal regulators. + Oversite of encounters to financial reporting reconciliations on state required basis. + Prepares short-term and long-term financial strategic plans per corporate guidelines. + Hires, onboards, trains, mentors, develops and manages finance staff performance. + Coordinates the month-end close with accounting staff. Supports review of all non-IBNR reserves for appropriateness on a monthly basis. + Gathers, interprets and evaluates financial information; generating forecasts and analyzing trends in sales, finance and other areas of business. + Uses financial data to evaluate and make recommendations relating to business opportunities, product development, marketing strategies, investments, financial regulations, and similar financial projects or programs. **Required Qualifications** + At least 8 years of finance experience, or equivalent combination of relevant education and experience. + At least 3 years management/leadership experience. + Bachelor's degree in accounting, finance, business administration, math or related field. + Strong critical-thinking and attention to detail. + Ability to effectively collaborate with technical and non-technical stakeholders. + Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. + Excellent verbal and written communication skills. + Proficient in Microsoft Office suite products, including advanced skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency. **Preferred Qualifications** + Certified Public Accountant (CPA) To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $107,028 - $250,446 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$107k-250.4k yearly 12d ago
Director, Finance (NY Health Plan) - REMOTE
Molina Healthcare 4.4
Dayton, OH jobs
Leads and directs team responsible for finance activities including financial analysis, reporting, forecasting, trending and modeling. Duties include interpreting and evaluating information for future business decisions such as new product development, marketing strategies and investments, financial regulations, and similar financial projects or programs. **Essential Job Duties** + Prepare schedules and worksheets for the Plan's regulatory financial reporting requirements. + Coordinate, research and respond to follow-up questions from state and federal regulators. + Oversite of encounters to financial reporting reconciliations on state required basis. + Prepares short-term and long-term financial strategic plans per corporate guidelines. + Hires, onboards, trains, mentors, develops and manages finance staff performance. + Coordinates the month-end close with accounting staff. Supports review of all non-IBNR reserves for appropriateness on a monthly basis. + Gathers, interprets and evaluates financial information; generating forecasts and analyzing trends in sales, finance and other areas of business. + Uses financial data to evaluate and make recommendations relating to business opportunities, product development, marketing strategies, investments, financial regulations, and similar financial projects or programs. **Required Qualifications** + At least 8 years of finance experience, or equivalent combination of relevant education and experience. + At least 3 years management/leadership experience. + Bachelor's degree in accounting, finance, business administration, math or related field. + Strong critical-thinking and attention to detail. + Ability to effectively collaborate with technical and non-technical stakeholders. + Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. + Excellent verbal and written communication skills. + Proficient in Microsoft Office suite products, including advanced skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency. **Preferred Qualifications** + Certified Public Accountant (CPA) To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $107,028 - $250,446 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$107k-250.4k yearly 12d ago
ASC/Joint Venture Controller - Remote
Community Health Systems 4.5
Remote
Our Benefits Comprehensive Health Coverage: Medical, dental, and vision plans to keep you and your family healthy. Competitive Pay & Full Benefits: A salary and package designed to reward your expertise and dedication. Paid time off Future Security: 401(k) with matching. Job Summary The Controller is responsible for managing financial operations, ensuring the accuracy and efficiency of the month-end close accounting process, and serving as a liaison between the health system's corporate office and its assigned entity, such as hospitals, clinics, or shared business operations (SBO). This role is instrumental in fostering strong relationships, driving continuous improvement in financial processes, and supporting operational and strategic decisions. Essential Functions Oversees the month-end close accounting process, ensuring accuracy, efficiency, and timeliness. Coordinates communication between corporate leadership, local administrative teams, and shared business operations to promote collaboration and alignment with organizational objectives. Conducts monthly and quarterly operating reviews, including variance analysis, and provides actionable insights for operational improvement. Assesses and resolves issues that may arise between corporate and local sites, escalating to the Regional Controller or Senior Director of Healthcare Accounting as needed. Provides guidance and support for annual budget preparation and quarterly financial forecasts, ensuring accuracy and adherence to organizational goals. Delivers accurate and timely financial information to support strategic decision-making and operational efficiency, including presenting financial data to hospital and corporate leadership. Ensures compliance with all applicable regulations, organizational policies, and procedures across all supported entities. Collaborates with cross-functional teams, including accounts payable and other finance departments, to address and resolve operational challenges. Travels up to 25% overnight to maintain relationships with hospital, healthcare system stakeholders, or corporate accounting teams and provide on-site support as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Bachelor's Degree in Accounting, Finance, or a related field from an accredited college or university required Master's Degree in Business Administration from accredited college or university preferred 2-4 years of joint venture experience highly preferred Oracle Fusion experience highly preferred 5-7 years of experience in an Accounting or Finance role and general accounting knowledge required 2-4 years of hospital or Healthcare System, multi-site accounting experience preferred Knowledge, Skills and Abilities Strong analytical and problem-solving skills with the ability to synthesize financial data into actionable insights. Excellent interpersonal and communication skills to build and maintain relationships across diverse teams. Proficiency in financial systems, accounting software, and Microsoft Office Suite, particularly Excel. Ability to work independently and collaboratively in a fast-paced environment. Demonstrates strong organizational skills and attention to detail. Demonstrated proficiency in financial software and tools; prior Alteryx experience preferred. Proficiency in Google Suite applications preferred, with the ability to utilize spreadsheets, presentations, and other tools effectively. Willingness to learn Oracle and leverage the training, reporting, and process components to excel in role. Licenses and Certifications Certified Public Accountant (CPA) preferred or Certified Management Accountant (CMA) preferred
$58k-103k yearly est. Auto-Apply 4d ago
Director, Finance (NY Health Plan) - REMOTE
Molina Healthcare 4.4
Ohio jobs
Leads and directs team responsible for finance activities including financial analysis, reporting, forecasting, trending and modeling. Duties include interpreting and evaluating information for future business decisions such as new product development, marketing strategies and investments, financial regulations, and similar financial projects or programs. **Essential Job Duties** + Prepare schedules and worksheets for the Plan's regulatory financial reporting requirements. + Coordinate, research and respond to follow-up questions from state and federal regulators. + Oversite of encounters to financial reporting reconciliations on state required basis. + Prepares short-term and long-term financial strategic plans per corporate guidelines. + Hires, onboards, trains, mentors, develops and manages finance staff performance. + Coordinates the month-end close with accounting staff. Supports review of all non-IBNR reserves for appropriateness on a monthly basis. + Gathers, interprets and evaluates financial information; generating forecasts and analyzing trends in sales, finance and other areas of business. + Uses financial data to evaluate and make recommendations relating to business opportunities, product development, marketing strategies, investments, financial regulations, and similar financial projects or programs. **Required Qualifications** + At least 8 years of finance experience, or equivalent combination of relevant education and experience. + At least 3 years management/leadership experience. + Bachelor's degree in accounting, finance, business administration, math or related field. + Strong critical-thinking and attention to detail. + Ability to effectively collaborate with technical and non-technical stakeholders. + Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. + Excellent verbal and written communication skills. + Proficient in Microsoft Office suite products, including advanced skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency. **Preferred Qualifications** + Certified Public Accountant (CPA) To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $107,028 - $250,446 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$107k-250.4k yearly 12d ago
Director, Finance (NY Health Plan) - REMOTE
Molina Healthcare 4.4
Long Beach, CA jobs
Leads and directs team responsible for finance activities including financial analysis, reporting, forecasting, trending and modeling. Duties include interpreting and evaluating information for future business decisions such as new product development, marketing strategies and investments, financial regulations, and similar financial projects or programs. Essential Job Duties Prepare schedules and worksheets for the Plan's regulatory financial reporting requirements. Coordinate, research and respond to follow-up questions from state and federal regulators. Oversite of encounters to financial reporting reconciliations on state required basis. Prepares short-term and long-term financial strategic plans per corporate guidelines. Hires, onboards, trains, mentors, develops and manages finance staff performance. Coordinates the month-end close with accounting staff. Supports review of all non-IBNR reserves for appropriateness on a monthly basis. Gathers, interprets and evaluates financial information; generating forecasts and analyzing trends in sales, finance and other areas of business. Uses financial data to evaluate and make recommendations relating to business opportunities, product development, marketing strategies, investments, financial regulations, and similar financial projects or programs. Required Qualifications At least 8 years of finance experience, or equivalent combination of relevant education and experience. At least 3 years management/leadership experience. Bachelor's degree in accounting, finance, business administration, math or related field. Strong critical-thinking and attention to detail. Ability to effectively collaborate with technical and non-technical stakeholders. Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. Excellent verbal and written communication skills. Proficient in Microsoft Office suite products, including advanced skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency. Preferred Qualifications Certified Public Accountant (CPA) To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
$143k-200k yearly est. Auto-Apply 13d ago
Finance & Analytics Analyst (Adv SQL & Excel Required)
Molina Healthcare 4.4
Columbus, OH jobs
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions. **Job Duties** 1. Extracts and compiles information from large data sets from various systems to identify and analyze outliers. 2. Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers. 3. Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. 4. Implements and uses analytics software and systems to support department goals. 5. Tracks trends related to various feeds, with focus on membership, revenue, and commissions. 6. Identify any deficiencies within the process, strategize and design improvements where possible. **Job Qualifications** **REQUIRED EDUCATION:** Associate's degree or equivalent combination of education and experience **REQUIRED EXPERIENCE:** + 1-3 years related experience + Proficiency in MS SQL queries and database development. + Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots). + Intermediate proficiency with complex SQL queries, and stored procedures. + Strong critical thinking and attention to detail. + Ability to effectively communicate with technical and non-technical stakeholders. + Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines **PREFERRED EDUCATION:** Bachelor's degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 2 - 4 years related experience **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-128.5k yearly 31d ago
Vice President, Control Assurance and AI Risk Governance
Unitedhealth Group Inc. 4.6
Eden Prairie, MN jobs
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. The person in this role will ensure that controls are effective, deficiencies remediated, and AI ethics embedded. You will be accountable for organizational adherence to regulatory frameworks-including NYDFS, HIPAA, HITRUST, and SOX-while embedding NIST-aligned, risk-informed decision-making into business and security operations. The role is pivotal in providing an assurance ecosystem delivering rea-time control effectiveness and proactive governance and continuous readiness. By ensuring controls are effective, deficiencies remediated, and regulatory alignment maintained, this role enables resilience, trust, and sustainable business growth in a complex regulatory landscape. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office. Primary Responsibilities: * Establish and lead a Testing Center of Excellence (CoE). Define testing standards, methodologies, and tooling to ensure consistent execution of preventive, detective, and corrective control testing across the enterprise * Design, implement, and validate controls. Drive enterprise-wide control design and testing programs-covering IT, business, and AI/ML controls-to ensure effectiveness and alignment with regulatory and risk appetite expectations * Manage the full lifecycle of control deficiencies. Govern deficiency identification, risk rating, remediation planning, and closure tracking with transparency and accountability. Provide CoE-driven reporting on remediation progress * Oversee audit readiness and evidence collection. Standardize evidence collection processes, ensuring traceability, completeness, and reliability across the three lines of defense. Drive CoE-enabled automation to improve efficiency and reduce audit fatigue * Expand traditional CoE testing protocols to cover AI models and governance, embedding ethical and regulatory considerations into testing frameworks * Trigger and govern escalation workflows for AI/IT control failures. Ensure timely issue escalation and structured governance workflows for failed control tests or detected model drift, driving accountability and sustainable remediation * Provide insights and Board-level reporting from CoE analytics. Deliver enterprise dashboards and trend analysis on control testing outcomes, deficiency root causes, and remediation performance to inform executive decision-making You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications: * Bachelor's degree in Business, Information Security, Risk Management, Computer Science, or a related field (advanced degree preferred) * Professional certifications such as: CRISC, CISA, CISSP, CISM, CPA and/or CIA highly preferred * Proven knowledge of NIST CSF, NIST AI RMF, HITRUST, ISO 27001, NYDFS Cybersecurity Regulation, SOX, HIPAA, and PCI-DSS * 12+ years of progressive experience in Governance, Risk, and Compliance (GRC), audit or cybersecurity * 5+ years in a leadership role, leading through other leaders and cross-functional teams in complex, regulated industries (financial services, insurance, healthcare, or technology) * Proven track record implementing enterprise GRC platforms (e.g., Archer, ServiceNow GRC, OneTrust, MetricStream) * Experience leading control lifecycle management (design, testing, deficiency remediation) * Demonstrated oversight of AI/ML risk governance, cloud adoption, and digital transformation initiatives * Successful history of managing Board- and regulator-facing reporting, metrics, and remediation outcomes * Deep knowledge of enterprise risk frameworks and alignment to NIST functions (Identify, Protect, Detect, Respond, Recover) * Ability to govern both traditional IT/business controls and emerging AI/ML model governance, including bias, fairness, and explainability * Solid leadership, communication, and stakeholder engagement skills, with ability to influence executive leadership and Boards * Analytical mindset with expertise in metrics, dashboards, and risk appetite reporting * Skilled in leading cross-functional governance forums (policy councils, issue management boards, risk committees) * High adaptability, with proven ability to integrate new regulatory requirements into enterprise governance structures * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$200.4k-343.5k yearly 10d ago
Vice President, Control Assurance and AI Risk Governance
Unitedhealth Group 4.6
Eden Prairie, MN jobs
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. The person in this role will ensure that controls are effective, deficiencies remediated, and AI ethics embedded. You will be accountable for organizational adherence to regulatory frameworks-including NYDFS, HIPAA, HITRUST, and SOX-while embedding NIST-aligned, risk-informed decision-making into business and security operations. The role is pivotal in providing an assurance ecosystem delivering rea-time control effectiveness and proactive governance and continuous readiness. By ensuring controls are effective, deficiencies remediated, and regulatory alignment maintained, this role enables resilience, trust, and sustainable business growth in a complex regulatory landscape. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office. **Primary Responsibilities:** + Establish and lead a Testing Center of Excellence (CoE). Define testing standards, methodologies, and tooling to ensure consistent execution of preventive, detective, and corrective control testing across the enterprise + Design, implement, and validate controls. Drive enterprise-wide control design and testing programs-covering IT, business, and AI/ML controls-to ensure effectiveness and alignment with regulatory and risk appetite expectations + Manage the full lifecycle of control deficiencies. Govern deficiency identification, risk rating, remediation planning, and closure tracking with transparency and accountability. Provide CoE-driven reporting on remediation progress + Oversee audit readiness and evidence collection. Standardize evidence collection processes, ensuring traceability, completeness, and reliability across the three lines of defense. Drive CoE-enabled automation to improve efficiency and reduce audit fatigue + Expand traditional CoE testing protocols to cover AI models and governance, embedding ethical and regulatory considerations into testing frameworks + Trigger and govern escalation workflows for AI/IT control failures. Ensure timely issue escalation and structured governance workflows for failed control tests or detected model drift, driving accountability and sustainable remediation + Provide insights and Board-level reporting from CoE analytics. Deliver enterprise dashboards and trend analysis on control testing outcomes, deficiency root causes, and remediation performance to inform executive decision-making You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Qualifications:** + Bachelor's degree in Business, Information Security, Risk Management, Computer Science, or a related field (advanced degree preferred) + Professional certifications such as: CRISC, CISA, CISSP, CISM, CPA and/or CIA highly preferred + Proven knowledge of NIST CSF, NIST AI RMF, HITRUST, ISO 27001, NYDFS Cybersecurity Regulation, SOX, HIPAA, and PCI-DSS + 12+ years of progressive experience in Governance, Risk, and Compliance (GRC), audit or cybersecurity + 5+ years in a leadership role, leading through other leaders and cross-functional teams in complex, regulated industries (financial services, insurance, healthcare, or technology) + Proven track record implementing enterprise GRC platforms (e.g., Archer, ServiceNow GRC, OneTrust, MetricStream) + Experience leading control lifecycle management (design, testing, deficiency remediation) + Demonstrated oversight of AI/ML risk governance, cloud adoption, and digital transformation initiatives + Successful history of managing Board- and regulator-facing reporting, metrics, and remediation outcomes + Deep knowledge of enterprise risk frameworks and alignment to NIST functions (Identify, Protect, Detect, Respond, Recover) + Ability to govern both traditional IT/business controls and emerging AI/ML model governance, including bias, fairness, and explainability + Solid leadership, communication, and stakeholder engagement skills, with ability to influence executive leadership and Boards + Analytical mindset with expertise in metrics, dashboards, and risk appetite reporting + Skilled in leading cross-functional governance forums (policy councils, issue management boards, risk committees) + High adaptability, with proven ability to integrate new regulatory requirements into enterprise governance structures *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$200.4k-343.5k yearly 10d ago
Director of Finance - Lincoln, NE
Unitedhealth Group Inc. 4.6
Lincoln, NE jobs
Explore opportunities at Proceed Finance, part of the Optum family of businesses. We're a Nebraska-based financial technology company that is an established leader in the markets we serve. As patient financing experts, we create affordability for life-changing treatment so patients can restore their health and happiness. Come be a part of our innovative culture and make an impact with our rewarding career opportunities. Join us and discover the meaning behind Caring. Connecting. Growing together. The Director of Finance will be responsible for overseeing financial activities and ensuring the financial health of the organization, working with the Proceed Finance team. This position's focus includes budgeting/forecasting, reporting, analytics, liquidity management, capital allocation, investment tracking, productivity savings planning, strategic initiatives modeling, and other ad hoc financial support. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Develop and implement financial strategies to support the company's growth and profitability goals * Oversee the preparation and presentation of accurate and timely financial reports, including monthly, quarterly, and annual statements * Partner with executive leadership to drive business performance and long-term profitability * Assist with the budgeting and forecasting processes, ensuring alignment with strategic objectives * Conduct in-depth financial analysis to support decision-making, including variance analysis, profitability analysis, and scenario planning * Monitor and manage cash flow to ensure the company's financial stability and liquidity * Coordinate internal and external audits, ensuring timely and accurate completion and addressing any findings * Manage liquidity, funding strategies, and capital allocation * Provide sound guidance to executive leadership team regarding spending and budgets decisions * Files quarterly and annual reports with the Securities and Exchange Commission * Ensures compliance with local, state, and federal government requirements * Performs other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree in accounting, finance or related business field * 7+ years of banking experience or financial regulations and compliance * 5+ years of managing financial reporting and analysis * 5+ years of experience analyzing and evaluating budgets and financial models * 5+ years of experience in financial, consumer, and/or treasury management * Local to or willing to relocate to Lincoln, NE Preferred Qualifications: * MBA and/or CPA * Experience in consumer lending, credit risk, and regulatory compliance * Experience in the healthcare or patient financing industry * Experience with financial technology and digital payment solutions * Proficiency in financial systems and data analytics tools (e.g., SQL, Tableau, Excel) * Solid knowledge of GAAP, financial modeling, and capital markets * Proven excellent analytical and problem-solving skills * Proven exceptional organizational skills and attention to detail The ideal applicant also has the following skills: * Ability to thrive in a fast-paced, dynamic setting with evolving priorities * Solid communication and interpersonal skills * Proficient with Microsoft Office Suite or related software * Thorough understanding of project management * Effective supervisory and leadership skills * Excellent strategic decision-making, analytic, influencing skills * Familiarity with lending and loan servicing systems * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$110.2k-188.8k yearly 41d ago
Director of Finance - Lincoln, NE
Unitedhealth Group 4.6
Lincoln, NE jobs
**Explore opportunities at Proceed Finance, part of the Optum family of businesses.** We're a Nebraska-based financial technology company that is an established leader in the markets we serve. As patient financing experts, we create affordability for life-changing treatment so patients can restore their health and happiness. Come be a part of our innovative culture and make an impact with our rewarding career opportunities. Join us and discover the meaning behind **Caring. Connecting. Growing together.** The **Director of Finance** will be responsible for overseeing financial activities and ensuring the financial health of the organization, working with the Proceed Finance team. This position's focus includes budgeting/forecasting, reporting, analytics, liquidity management, capital allocation, investment tracking, productivity savings planning, strategic initiatives modeling, and other ad hoc financial support. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Develop and implement financial strategies to support the company's growth and profitability goals + Oversee the preparation and presentation of accurate and timely financial reports, including monthly, quarterly, and annual statements + Partner with executive leadership to drive business performance and long-term profitability + Assist with the budgeting and forecasting processes, ensuring alignment with strategic objectives + Conduct in-depth financial analysis to support decision-making, including variance analysis, profitability analysis, and scenario planning + Monitor and manage cash flow to ensure the company's financial stability and liquidity + Coordinate internal and external audits, ensuring timely and accurate completion and addressing any findings + Manage liquidity, funding strategies, and capital allocation + Provide sound guidance to executive leadership team regarding spending and budgets decisions + Files quarterly and annual reports with the Securities and Exchange Commission + Ensures compliance with local, state, and federal government requirements + Performs other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in accounting, finance or related business field + 7+ years of banking experience or financial regulations and compliance + 5+ years of managing financial reporting and analysis + 5+ years of experience analyzing and evaluating budgets and financial models + 5+ years of experience in financial, consumer, and/or treasury management + Local to or willing to relocate to Lincoln, NE **Preferred Qualifications:** + MBA and/or CPA + Experience in consumer lending, credit risk, and regulatory compliance + Experience in the healthcare or patient financing industry + Experience with financial technology and digital payment solutions + Proficiency in financial systems and data analytics tools (e.g., SQL, Tableau, Excel) + Solid knowledge of GAAP, financial modeling, and capital markets + Proven excellent analytical and problem-solving skills + Proven exceptional organizational skills and attention to detail **The ideal applicant also has the following skills:** + Ability to thrive in a fast-paced, dynamic setting with evolving priorities + Solid communication and interpersonal skills + Proficient with Microsoft Office Suite or related software + Thorough understanding of project management + Effective supervisory and leadership skills + Excellent strategic decision-making, analytic, influencing skills + Familiarity with lending and loan servicing systems *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$110.2k-188.8k yearly 41d ago
Finance & Analytics Analyst (Adv SQL & Excel Required)
Molina Healthcare Inc. 4.4
Cleveland, OH jobs
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions. Job Duties * Extracts and compiles information from large data sets from various systems to identify and analyze outliers. * Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers. * Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. * Implements and uses analytics software and systems to support department goals. * Tracks trends related to various feeds, with focus on membership, revenue, and commissions. * Identify any deficiencies within the process, strategize and design improvements where possible. Job Qualifications REQUIRED EDUCATION: Associate's degree or equivalent combination of education and experience REQUIRED EXPERIENCE: * 1-3 years related experience * Proficiency in MS SQL queries and database development. * Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots). * Intermediate proficiency with complex SQL queries, and stored procedures. * Strong critical thinking and attention to detail. * Ability to effectively communicate with technical and non-technical stakeholders. * Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines PREFERRED EDUCATION: Bachelor's degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 2 - 4 years related experience PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $128,519 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-128.5k yearly 32d ago
Finance & Analytics Analyst (Adv SQL & Excel Required)
Molina Healthcare Inc. 4.4
Akron, OH jobs
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions. Job Duties * Extracts and compiles information from large data sets from various systems to identify and analyze outliers. * Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers. * Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. * Implements and uses analytics software and systems to support department goals. * Tracks trends related to various feeds, with focus on membership, revenue, and commissions. * Identify any deficiencies within the process, strategize and design improvements where possible. Job Qualifications REQUIRED EDUCATION: Associate's degree or equivalent combination of education and experience REQUIRED EXPERIENCE: * 1-3 years related experience * Proficiency in MS SQL queries and database development. * Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots). * Intermediate proficiency with complex SQL queries, and stored procedures. * Strong critical thinking and attention to detail. * Ability to effectively communicate with technical and non-technical stakeholders. * Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines PREFERRED EDUCATION: Bachelor's degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 2 - 4 years related experience PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $128,519 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-128.5k yearly 32d ago
Finance & Analytics Analyst (Adv SQL & Excel Required)
Molina Healthcare Inc. 4.4
Cincinnati, OH jobs
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions. Job Duties * Extracts and compiles information from large data sets from various systems to identify and analyze outliers. * Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers. * Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. * Implements and uses analytics software and systems to support department goals. * Tracks trends related to various feeds, with focus on membership, revenue, and commissions. * Identify any deficiencies within the process, strategize and design improvements where possible. Job Qualifications REQUIRED EDUCATION: Associate's degree or equivalent combination of education and experience REQUIRED EXPERIENCE: * 1-3 years related experience * Proficiency in MS SQL queries and database development. * Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots). * Intermediate proficiency with complex SQL queries, and stored procedures. * Strong critical thinking and attention to detail. * Ability to effectively communicate with technical and non-technical stakeholders. * Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines PREFERRED EDUCATION: Bachelor's degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 2 - 4 years related experience PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $128,519 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-128.5k yearly 32d ago
Finance & Analytics Analyst (Adv SQL & Excel Required)
Molina Healthcare Inc. 4.4
Dayton, OH jobs
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions. Job Duties * Extracts and compiles information from large data sets from various systems to identify and analyze outliers. * Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers. * Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. * Implements and uses analytics software and systems to support department goals. * Tracks trends related to various feeds, with focus on membership, revenue, and commissions. * Identify any deficiencies within the process, strategize and design improvements where possible. Job Qualifications REQUIRED EDUCATION: Associate's degree or equivalent combination of education and experience REQUIRED EXPERIENCE: * 1-3 years related experience * Proficiency in MS SQL queries and database development. * Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots). * Intermediate proficiency with complex SQL queries, and stored procedures. * Strong critical thinking and attention to detail. * Ability to effectively communicate with technical and non-technical stakeholders. * Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines PREFERRED EDUCATION: Bachelor's degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 2 - 4 years related experience PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $128,519 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-128.5k yearly 32d ago
Finance & Analytics Analyst (Adv SQL & Excel Required)
Molina Healthcare 4.4
Dayton, OH jobs
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions. **Job Duties** 1. Extracts and compiles information from large data sets from various systems to identify and analyze outliers. 2. Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers. 3. Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. 4. Implements and uses analytics software and systems to support department goals. 5. Tracks trends related to various feeds, with focus on membership, revenue, and commissions. 6. Identify any deficiencies within the process, strategize and design improvements where possible. **Job Qualifications** **REQUIRED EDUCATION:** Associate's degree or equivalent combination of education and experience **REQUIRED EXPERIENCE:** + 1-3 years related experience + Proficiency in MS SQL queries and database development. + Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots). + Intermediate proficiency with complex SQL queries, and stored procedures. + Strong critical thinking and attention to detail. + Ability to effectively communicate with technical and non-technical stakeholders. + Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines **PREFERRED EDUCATION:** Bachelor's degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 2 - 4 years related experience **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-128.5k yearly 31d ago
Finance & Analytics Analyst (Adv SQL & Excel Required)
Molina Healthcare Inc. 4.4
Ohio jobs
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced Excel, SQL querying, and reporting methods to develop solutions. Job Duties * Extracts and compiles information from large data sets from various systems to identify and analyze outliers. * Provide quantitative and qualitative data analysis in the reporting of patterns, insights, and trends to decision-makers. * Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. * Implements and uses analytics software and systems to support department goals. * Tracks trends related to various feeds, with focus on membership, revenue, and commissions. * Identify any deficiencies within the process, strategize and design improvements where possible. Job Qualifications REQUIRED EDUCATION: Associate's degree or equivalent combination of education and experience REQUIRED EXPERIENCE: * 1-3 years related experience * Proficiency in MS SQL queries and database development. * Proficient in MS Office Suite products, key skills in Excel (VLOOKUPs and pivots). * Intermediate proficiency with complex SQL queries, and stored procedures. * Strong critical thinking and attention to detail. * Ability to effectively communicate with technical and non-technical stakeholders. * Strong time management skills to manage simultaneous projects and tasks to meet internal deadlines PREFERRED EDUCATION: Bachelor's degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 2 - 4 years related experience PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,168 - $128,519 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-128.5k yearly 32d ago
Patient Financing Business Manager - Remote
Unitedhealth Group Inc. 4.6
Lincoln, NE jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Job Summary: The Patient Financing Business Manager is responsible for the strategy, development, and management of elective medical financing products, overseeing their lifecycle from conception to launch and optimization. Key duties include understanding patient borrower needs, defining product features/benefits, end-to-end customer experience, developing business cases, setting pricing strategies, ensuring regulatory compliance, and collaborating with various departments like marketing, operations, engineering and risk management to drive product growth and performance. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Product strategy and development: * Define and execute the product vision and roadmap, aligning with business objectives * Conduct market research, competitive analysis, and customer needs analysis to identify opportunities for new or improved products * Develop business cases and financial models partnering with Finance to support new product initiatives * Translate business requirements into formal design and requirements documentation for new and enhanced products * Product lifecycle management: * Manage products throughout their lifecycle, from ideation through to ongoing optimization * Monitor and manage product performance, including financial performance and key metrics * Implement and manage changes in product or marketing strategy based on performance data * Risk and compliance: * Ensure all products comply with relevant laws, regulations, and internal policies * Develop and update product policies and procedures to address regulatory changes * Go-to-market and sales: * Partner with Marketing and Sales teams to develop and implement marketing, sales, and channel strategies * Collaborate with marketing to develop customer communication plans and campaigns * Provide training and support to internal teams, such as sales and customer service * Collaboration and stakeholder management: * Work with cross-functional teams, including engineering, IT, risk, operations, marketing, and sales, to ensure successful product execution and support * Build and maintain relationships with internal and external stakeholders, including partners and third-party vendors * Reporting and analytics: * Develop and produce reports and dashboards to track product performance * Use data analysis and insights to make informed, data-driven decisions You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 5+ years of experience in business, product, marketing management or operations roles * 2+ years of experience of consumer and/or point-of-sale lending * Experience working in a highly regulated industry preferably a financial industry * Demonstrated ability to work in a fast-paced environment * Proven solid analytical and problem-solving skills * Proven persistent and results focused - must be able to deliver results * Proven ability to work with all levels of the organization * Proven excellent verbal and written communication skills * Proven excellent organizational skills and attention to detail * Proven excellent time management skills with a proven ability to meet deadlines * Proven entrepreneurial mindset * Willing or ability to travel up to 10% based on business needs * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $xx,xxx to $xx,xxx annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$58k-67k yearly est. 12d ago
Patient Financing Business Manager - Remote
Unitedhealth Group 4.6
Lincoln, NE jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Job Summary: The Patient Financing Business Manager is responsible for the strategy, development, and management of elective medical financing products, overseeing their lifecycle from conception to launch and optimization. Key duties include understanding patient borrower needs, defining product features/benefits, end-to-end customer experience, developing business cases, setting pricing strategies, ensuring regulatory compliance, and collaborating with various departments like marketing, operations, engineering and risk management to drive product growth and performance. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Product strategy and development: + Define and execute the product vision and roadmap, aligning with business objectives + Conduct market research, competitive analysis, and customer needs analysis to identify opportunities for new or improved products + Develop business cases and financial models partnering with Finance to support new product initiatives + Translate business requirements into formal design and requirements documentation for new and enhanced products + Product lifecycle management: + Manage products throughout their lifecycle, from ideation through to ongoing optimization + Monitor and manage product performance, including financial performance and key metrics + Implement and manage changes in product or marketing strategy based on performance data + Risk and compliance: + Ensure all products comply with relevant laws, regulations, and internal policies + Develop and update product policies and procedures to address regulatory changes + Go-to-market and sales: + Partner with Marketing and Sales teams to develop and implement marketing, sales, and channel strategies + Collaborate with marketing to develop customer communication plans and campaigns + Provide training and support to internal teams, such as sales and customer service + Collaboration and stakeholder management: + Work with cross-functional teams, including engineering, IT, risk, operations, marketing, and sales, to ensure successful product execution and support + Build and maintain relationships with internal and external stakeholders, including partners and third-party vendors + Reporting and analytics: + Develop and produce reports and dashboards to track product performance + Use data analysis and insights to make informed, data-driven decisions You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 5+ years of experience in business, product, marketing management or operations roles + 2+ years of experience of consumer and/or point-of-sale lending + Experience working in a highly regulated industry preferably a financial industry + Demonstrated ability to work in a fast-paced environment + Proven solid analytical and problem-solving skills + Proven persistent and results focused - must be able to deliver results + Proven ability to work with all levels of the organization + Proven excellent verbal and written communication skills + Proven excellent organizational skills and attention to detail + Proven excellent time management skills with a proven ability to meet deadlines + Proven entrepreneurial mindset + Willing or ability to travel up to 10% based on business needs *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $xx,xxx to $xx,xxx annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$58k-67k yearly est. 12d ago
Finance Analyst IV - Medicare
Centene 4.5
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: With the WellCare of Kentucky Finance team, you will compile and analyze Medicare financial information for the company. Lead various financial projects. Cost effectively manage the utilization of services and develop measures to track, trend and forecast related impacts of organizational strategic initiatives. Medicare financial forecasting, setting financial reserves for inpatient expenses and claims research Develop metrics to evaluate financial impact of proposed contract and medical management Develop integrated revenue/expense analyses, projections, reports, and presentations Contribute commentary/insights into the business units performance based on market specific knowledge and analysis based results/indicators Create and analyze monthly, quarterly, and annual reports and ensures financial information has been recorded accurately Identify trends and developments in competitive environments and presents findings to senior management Perform financial forecasting and reconciliation of internal accounts Identify and research variances Handle complex and high level financial analysis Present and discuss analysis with upper management Performs other duties as assigned Complies with all policies and standards Required Education/Experience: Bachelor's degree in related field or equivalent experience. 6+ years of financial or data analysis experience. Preferred Skills: Advanced SQL and Excel skills Health insurance background OneStream and Snowflake Pay Range: $87,700.00 - $157,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$87.7k-157.8k yearly Auto-Apply 4d ago