Revenue Cycle Subject Matter Expert - Remote
Senior analyst job at UnitedHealth Group
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.
As a Revenue Cycle Subject Matter Expert (SME), you will be the strategic bridge between client operations and automation delivery-defining impactful use cases, facilitating solution-oriented discussions, and guiding process transformation. You'll lead discovery through shadowing sessions, document high-level success metrics, and ensure automation strategies align with client goals. With a solid presence in daily stand-ups, you'll approve technical documentation, resolve client-related issues, and provide critical process clarifications to keep automation initiatives moving forward with precision and purpose.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Collaborate with analysts to identify automation opportunities
* Collaborate with architects and analysts on the team to translate identified business processes into automation opportunities
* Engage with clients and executive leadership to present automation strategies, share insights, and facilitate solution-oriented discussions
* Define use cases in collaboration with the client
* Conduct shadowing sessions with various business process owners to understand current and future state processes
* Document high-level use cases and success/ROI metrics
* Approve Process Design Document (PDD) before bot development
* Participate in daily stand-up meetings
* Provide process clarifications
* Resolve client-related issues during stand-ups
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 hands-on experience in revenue cycle operations, with demonstrated expertise across front-end (e.g., patient access), mid-cycle (e.g., coding, documentation), and back-end (e.g., billing, collections) functions
* 4+ years of experience supporting initiatives across front-end (e.g., patient access), mid-cycle (e.g., clinical documentation, coding), and back-end (e.g., billing, collections) operations
* 3+ years of experience in a consulting or client-facing role, with a focus on delivering strategic process improvement and automation solutions in dynamic healthcare environments
* 3+ years of experience in facilitating workshops, discovery sessions, and cross-functional meetings, leading to the identification and documentation of seven use cases and automation opportunities for clients
* Experience presenting executive leadership, with the ability to distill complex operational challenges into strategic insights and ROI-driven recommendations-supported by at least five executive-level presentations
* Experience having authored and validated high-level use cases, success metrics, and Process Design Documents (PDDs) for at least five automation initiatives, demonstrating rigorous documentation skills
* Experience with resolving client-related issues in real time, with active participation in daily stand-ups and a history of supporting cross-functional delivery teams through process clarifications and issue resolution
Preferred Qualifications:
* Proven expertise in process redesign and systems implementation, driving operational efficiency and technology adoption
* Hands-on proficiency with automation technologies, including Robotic Process Automation (RPA), Intelligent Document Processing (IDP), and workflow orchestration platforms such as UiPath, Automation Anywhere, or Power Automate
* Leadership in cross-functional teams, fostering collaboration across business, technical, and operational stakeholders
* Educational or professional background in engineering, providing a solid foundation in systems thinking and technical problem-solving
* 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 $89,900 to $160,600 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.
EDW Medicaid Subject Matter Expert or Data Specialist - Remote
Senior analyst job at UnitedHealth Group
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.**
This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data.
Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some (
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:**
+ Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations
+ With the specialized knowledge of the Medicaid and Children's Health Insurance Programs (CHIP), lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient eligibility, provider enrollment, and third-party liability
+ Proactively identify and understand state Medicaid agency data needs and determines the recommended solution to meet them with credible reason, justification and validated proof of concepts
+ Direct technical and business teams on healthcare topics understanding and utilizing healthcare data appropriately
+ Proactively suggest and recommend enhancements and improvements throughout the project processes, driven by Medicaid best practices, standards and policies
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:**
+ 10+ years of experience in information technology with 5+ years of experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems
+ 2+ years of experience working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects
+ Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered
+ Understanding of claims, recipient/eligibility, and provider/enrollment data processes
+ Proven ability to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets
+ Proven excellent verbal/written communication and presentation skills, manager/executive/director-level client facing, team collaboration, and mentoring skills
+ Proven solid culture fit, demonstrating our culture values in action (Integrity, Compassion, Inclusion, Relationships, Innovation, and Performance)
+ Ability to travel to Springfield, IL two (3) to three (4) times per year or as needed
**Note:** Core customer business hours to conduct work is M-F 8 AM - 5 PM CST.
**Preferred Qualifications:**
+ 2+ years of experience in HEDIS, CHIPRA or similar quality metrics
+ Experience with data analysis using Teradata Database Management System or other equivalent database management system
+ Experience using JIRA, Rally, DevOps or equivalent
+ Experience in large implementation or DDI project
+ Located within driving distance (3 - 5 Hours) of Springfield, IL
*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._
Business Analytics Lead Analyst (Provider Settlement Lead Analyst) - Remote
Bloomfield, CT jobs
Cigna is seeking a highly motivated and innovative team member to join our analytics team as a Business Analytics Lead Analyst. In this role, you will lead contractors and attorneys through the internal provider settlement process and partner closely with the settlement team.
Responsibilities
Manage the settlement team mailbox, responding to internal requests and inquiries
Set up settlement meetings, document take-aways and send out meeting notes
Maintain database inventory of settlements (tracking requests, payments, chargebacks, etc)
Report on settlement activity (bi-weekly, monthly, quarterly and annual reporting).
Enter payments into payment system to issue settlement payments
Review and summarize financial analysis on potential settlements
Lead the client chargeback process once a settlement payment is made
Respond to external financial audits
Collaborate with attorneys and contractors in preparation for quarterly reserve reviews and reporting
Qualifications
Bachelor's degree or higher strongly preferred or equivalent work experience required
3+ years of experience in finance, business analysis or health care/managed care
Strong organizational skills and attention to detail
Excellent communication and documentation abilities required
Understanding of managed care business processes, data, systems, and claim payments
Proficient in Microsoft Office Suite (Microsoft Word, Microsoft Excel and Microsoft Access). VLOOKUPS and pivot tables required.
Ability to work independently while managing multiple tasks and meeting deadlines
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 77,300 - 128,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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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: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts.
Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting
Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources
Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management
Develop reports and deliverables for management
Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools
Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis
Assist with training and mentoring other Data Analysts
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Power BI and Snowflake experience preferred.
By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified
Pay Range: $68,700.00 - $123,700.00 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
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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.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts.
Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting
Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources
Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management
Develop reports and deliverables for management
Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools
Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis
Assist with training and mentoring other Data Analysts
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Data visualization with a focus on storytelling a highly preferred.
By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.
Pay Range: $68,700.00 - $123,700.00 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
Auto-ApplyMarketing Process Analyst Senior or Lead
Remote
Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a senior or lead marketing process analyst on the Commercial Lines Experience team, you'll coordinate analytical projects to help customers and agents easily manage policies and meet servicing needs. In this role, you'll work on campaigns and initiatives to drive our core metric of extending policy retention of commercial lines experiences for policyholders and agents across multiple channels. Additionally, you'll support our scientific method-based testing through data exploration, creating hypotheses and test plans, analyzing results, reviewing results with peers, and iterating to improve impact.
Remote work allowed
Must-have qualifications
* Bachelor's degree or higher in a quantitative field of study and a minimum of three years of analytical work experience
* Instead of a quantitative degree, a bachelor's degree or higher and a minimum of five years of analytical work experience
* Instead of a degree, a minimum of six years of analytical work experience
Preferred skills
* Knowledge of applied business statistics (e.g., t-tests, A/B testing)
* Proficient in data visualization and dashboarding in tools such as Tableau or Power BI
* Business writing and data-based storytelling
* Proficient in programming skills such as SQL, SAS, and/or Python
Compensation
* $79,200 - $127,700/year
* Gainshare annual cash incentive payment up to 30% of your eligible earnings based on company performance
Benefits
* 401(k) with dollar-for-dollar company match up to 6%
* Medical, dental & vision, including free preventative care
* Wellness & mental health programs
* Health care flexible spending accounts, health savings accounts, & life insurance
* Paid time off, including volunteer time off
* Paid & unpaid sick leave where applicable, as well as short & long-term disability
* Parental & family leave; military leave & pay
* Diverse, inclusive & welcoming culture with Employee Resource Groups
* Career development & tuition assistance
* Onsite gym & healthcare at large locations
Energage recognizes Progressive as a 2024 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.
Equal Opportunity Employer
Sponsorship for work authorization for foreign national candidates is not available for this position.
For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at **************************************************************
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Senior Analyst, Product Analysis - Property Product State Management
Remote
offered will be based on skills and experience at manager discretion* This role may have in-office requirements based on candidate location Are you looking for a role where you can develop and implement solutions that directly impact our top and bottom line? Our Property State Management team is seeking a talented, motivated individual to join our group.
In this position you will be responsible for state-level analytical work, creating and implementing unique solutions to business problems across our Personal Lines Property markets. The analyst would have the overall goal of providing support to Directors of State Operation (DSOs) as they develop and execute strategies that leverage their deep understanding of local markets to drive profitable growth. You will also partner with many stakeholders to lead cross-function work, and present analyses and recommendations to leadership in our organization. In this role you will report to the Director, Product Analysis within the State Management team.
Responsibilities:
* Lead and execute complex analyses and recommendations to influence state, multi-state and countrywide strategies to improve profitability, competitiveness, and operational efficiency while taking into account state level market conditions and compliance constraints.
* Query and validate large and complex datasets to deliver analytically sound insights.
* Serves as a thought partner in managing state results and strategy by monitoring key metrics and understanding the competitive environment.
* Presents analyses to DSOs, senior leadership and other cross-functional partners that translates complex work into an easy, digestible story with an appropriate level of detail.
* Independently build and manage project plans to deliver results and implement solutions in support of state and organizational goals.
* Influence decision making and alignment with cross-functional partners through clear and effective communication.
* Mentor, formally and informally; and provide basic analytical coaching to less experienced analysts.
Qualifications
* Bachelor's degree in business, economics, or other quantitative field. Minimum 3 years, typically 4 years or more of relevant work experience.
* Proficient in Excel, PowerPoint, and data analysis software (e.g., SAS, Access).
* Must have good planning, organizational, analytical, decision making and communication skills.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
Auto-ApplyClaims - Data Analyst II (HQ Based)
Fairfield, OH jobs
Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
Start your journey with us
Our Claims Operations department is currently seeking a Claims Data Analyst II. The Claims Data Analyst II is responsible for understanding and analyzing claims data, partnering with internal and external customers to provide reports and analysis, and identifying and interpreting claim data trends. This individual must be able to understand customer needs and reporting tool functionality, synthesize the needs and reporting capabilities into functional specifications, deliver solutions, and when necessary, collaborate with IT to design applications to meet customer needs.
As a Claims Data Analyst II, the candidate is expected to fulfill leadership roles on projects, mentor fellow team members, establish and maintain relationships with internal and external customers, and independently manage their own workload and projects.
This is a headquarter based role located in Fairfield, OH.
Starting salary: the pay range for this position is $70,000- $85,000 annually. Pay is based on the applicant's education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus based on company and individual performance.
Be ready to:
* lead meetings with customers to understand report or analysis requirements
* mentor other Claims Data Analyst associates
* build and maintain relationships with claims leadership
* collaborates with IT to troubleshoot reporting issues and in designing new reporting applications to ensure reporting and analysis requests can be supported
* generate routine and ad hoc reports based on business requests
* develop and validate graphs; reports and presents analysis results
* perform statistical analyses for projects and reports
* extract and validate information from a variety of data sources
* interpret data and develop recommendations based on findings
* independently identify, analyze and interpret trends or patterns in complex data sets
* participates in establishing team and reporting processes
* document analysis performed and methods used in meeting customer needs
* independently review and interpret statutory data requests and follow through with timely reporting
* ensure accuracy and consistency of claims data across data sources
* participate in peer review of complex, routine and ad hoc analyses and reports
* take ownership of gathering and documenting requirements, as well as developing and executing test plans for system enhancements and defects
* understand how claims data is transformed from a source system to multiple downstream systems, including how the data is used in legacy systems, agency/insured portals, and in corporate data warehouses
* troubleshoot and identify the root cause of inconsistencies between a source system and downstream data
* explore and implement new reporting solutions options by: providing proofs of concept, impact analyses, validation/testing of data, development of the final tool using SAS, Access, Cognos, or other tools, and training users
* lead projects to increase efficiency and streamline processes within the team or department, and serve as subject matter expert for Claims/claims data on corporate-level projects
Be equipped with:
* the ability to proactively identify, build, and maintain relationships with agents, Claims managers, IT associates, and colleagues
* strong problem solving skills
* superior interpersonal and written communication skills
* keen attention to detail
* effective speaking skills when communicating with business users about requests and requirements
* the ability to present complex claims information in an understandable and compelling manner
* fluency with advanced Microsoft Excel tools including pivot tables, combination charts and vlookup
* proficiency with Microsoft Word, Access and PowerPoint
* the skills to create complex queries and write reports
* experience with analyzing data and knowledge of applying statistical analysis to claims data
* the ability to comprehend technical and logical concepts and adapt quickly to changes
* the ability to maintain own workflow and meet deadlines while managing parallel project deliverables independently
* determination to seek out efficiencies and innovation
* the ability to identify and recognize non-obvious problems
* comfortable with Excel macros, VBA, or other common coding languages (i.e. SAS, SQL, or DAX, etc.)
Bring education and experience from:
* qualified candidates have earned a bachelor's degree in business, mathematics, statistics or information technology-related fields or related experience
* professional insurance designations are preferred but not necessary
* familiar with data models and tools like PowerPivot
* knowledge of statistical analysis
* 3 years of hands-on experience using Cognos, SAP Business Warehouse, Power BI or other reporting tools for analytics and reporting
* knowledge of insurance industry and risk management
Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Learn more about our benefits and amenities packages.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation; religion; national origin; age; disability; or any other basis prohibited by law. Learn more about the Federal Employment Notices.
Senior Analyst, Product Research- PL Auto Delivery
Remote
Are you ready to make a significant impact in the world of personal auto insurance? Join our Personal Lines Auto Delivery team, where you'll play a key role in shaping and executing innovative pricing programs that drive USRM's profit and growth goals. You'll take ownership of end-to-end rollouts for assigned states, ensuring compliance with regulations while collaborating closely with stakeholders like the Director of State Operations. With a focus on project management, you'll simplify complex concepts and conduct deep analyses to guide strategic decisions. If you thrive in fast-paced environments and love creative problem-solving, this role offers a unique opportunity to develop your expertise in pricing and product ecosystems while fostering cross-functional partnerships. Together, we can transform the way auto insurance works!
**This position may have in-office requirements depending on candidate location. The level of position offered will be based on skills and experience at manager discretion. **
Responsibilities:
Fully own and execute on assigned states' end-to-end rollout of the latest personal auto insurance pricing programs.
Gather and document product requirements, clearly communicate requirements to stakeholders, and ensure accurate implementation.
Act as the subject matter expert for the pricing program and assigned states, provide thoughtful recommendations that influence state decisions and help drive corporate strategy.
Lead cross-functional workstreams and manage moderate to high complexity projects.
Conduct complex analyses to drive and support business decisions; where necessary, conduct in depth research of competitor offerings and filings.
Educate IT partners on business vision and plan, and both IT and business partners on the impact of changes.
Independently manage project timelines, flag risks and develop contingency plans, escalate blockers as appropriate.
Regularly update leadership and stakeholders on project progress, addressing concerns and managing communication channels.
Lead job shadow discussions with less experienced analysts. Provides technical training and user support to business groups.
You Would Love this Job if you:
Like to understand how things work (soup to nuts!)
Enjoy making a tangible impact to the state or our bottom line
Excel at project management - this work involves many moving pieces across teams, hand-offs, coordination
Can take complex concepts and simplify for various audiences
Thrive in a fast-paced environment with shifting priorities
Like to develop creative solutions to recurring and unique problems
Have strong attention to detail
Appreciate thought-partnering with Directors of State Operations to implement an accurate rating program
Are a fast learner that can apply new concepts quickly
Can work independently and manage time effectively
What you will gain from this role:
Deep understanding of how we build and bring rating programs to market (e.g., data & mechanics)
Deep understanding of the entire product & pricing ecosystem in USRM
Gain exposure to many different parts of the organization (e.g., State Management, Technology, Data Science)
Project and stakeholder management skills
Foundational knowledge of product & pricing to succeed in Product or other parts of USRM
Qualifications
Bachelor's degree in mathematics, economics, statistics, or other quantitative field Minimum 4 year's relevant work experience, typically 6 years.
Master's degree beneficial. Advanced proficiency in Excel, PowerPoint, and statistical software packages (e.g., SAS, Emblem).
Must have strong planning, organizational, analytical, decision making and communication skills.
Experience managing projects preferred.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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Auto-ApplyIncident Management Analyst Intern (Undergraduate - Summer 2026)
Remote
You could be the one who changes everything for our 28 million members as an Intern at Centene. During this 12-week program, you'll learn more about Centene and how we're transforming the health of the community, one person at a time.
Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.
Duties:
Gain a comprehensive understanding of how Major Incident Management functions at an enterprise level and the importance of the practice.
Achieve a high level understanding of all the ITSM practices leveraged at Centene organization.
Participate in our MIM training program, which includes a practical assessment.
Practice working Major Incidents with the MIM team and joining and participating in our Daily IT Operations standup meetings.
Preferred Qualifications:
Familiarity with Microsoft Office tools (PowerBi and/or Power Automate experience would be great to have)
Career interest aligns with IT service management and/or incident management space
Have worked with Copilot and/or AI process improvement projects
Education/Experience: High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period.
Pay Range: $18-26/hour
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) 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
Auto-ApplySenior Analyst, Advanced Analytics, Small Commercial
Remote
As a Sr. Analyst in Small Commercial Risk Analytics, you will you will play a critical role in the calculation and analysis of the Underwriter pricing tools, performing analyses designed to improve business processes and support decisions that contribute to profitable growth. This role will have exposure to teams across Small Commercial including Indications, Data Science, State, Underwriting and other Product teams to help optimize and monitor our underwriting tools and a variety of other critical strategic decisions. This is an exciting opportunity where your work will greatly influence strategy, decision-making and contribute to Liberty's goal of being a top 3 Global P&C insurer!
**This position may have in-office requirements dependent upon candidate location.**
Responsibilities:
Responsible for updating all Risk Analytics owned inputs of the underwriting pricing tool(s).
Collaborate with UWE monitoring team to share findings & align interpretation.
Provide pricing tool analytics on a quarterly and ad hoc basis, supporting stakeholder communication and engagement.
Owner of certain PowerBI dashboards, executing monthly updates and supporting the development and implementation of enhancements. Support the training of end-users.
Based on analysis, develops reports, proposals for action or implementation plans as necessary and presents to manager with opportunity to present to other Small Commercial leaders.
Communicates and collaborates with other departments as necessary to deliver guidance and actionable analysis.
Resolves problems as needed to ensure guidance, reporting and analysis are delivered accurately and on time.
Special Projects as prioritized within SC Risk Analytics.
Meets with supervisor to discuss deliverable(s) status and present recommendations.
Qualifications
Bachelor's Degree plus a minimum 3 years, typically 4 or more years of experience, or equivalent, is required.
Mathematics, Economics, Statistics or other quantitative field are preferred fields of study.
Advanced knowledge of data sources, tools, statistical principles and methodologies, and techniques.
Advanced proficiency in Excel (VBA, macros, scripts, formulas, data visualization, etc.), PowerPoint, and statistical software packages (SAS, Emblem).
Must have good planning, analytical, decision-making and communication skills. Solid understanding of business to improve business outcomes.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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Auto-ApplySenior Analyst, Advanced Analytics
Remote
The Direct Operational Analytics team is looking for highly motivated senior analyst with strong analytical and technical skills to join the Capacity Analytics team. The team is responsible for maintaining the operational health of the Direct channel by ensuring that the DRC (DTC contact center) is adequately staffed to meet the changing demands of growth, economic, and strategic objectives.
You will be a part of a team responsible for developing long-term forecasts steering the 1250-employee organization toward achieving them. Your focus will be on the inter-network decisions that are critical to managing DRC capacity and staffing. Additionally, you will leverage behavioral economics and inter-network insights to support optimization of our sales agents. To successfully influence, you will have high visibility with Direct leaders and collaborate with various partners throughout the organization on qualitative inputs.
The ideal candidate will possess strong analytical skills driven by curiosity and a commitment to problem-solving. Familiarity with dynamic trends and experience in executing analytical recommendations are essential. Experience in workforce management is a plus. You should have excellent verbal and written communication skills, enabling you to articulate complex concepts clearly to diverse audiences. If you enjoy making a meaningful impact in a dynamic environment, you will fit right in.
This role may have in-office requirements dependent on candidate location.
Responsibilities:
Develop and perform monitoring of internetwork health to unlock efficiencies
Execute economically informed recommendations to increase DRC's capacity
Support ad-hoc needs at the queue and segment levels
Understand how inter-network trends relate to the big picture to drive prioritization and progress to long term goals
Leverage SAS and/or SQL experience for data mining and accessibility
Ensure 2-way communication with the capacity and KPI teams
Experience using workforce management systems such as Calabrio is a plus
Qualifications
Bachelor's Degree plus a minimum 3 years, typically 4 or more years of experience, or equivalent, is required.
Mathematics, Economics, Statistics or other quantitative field are preferred fields of study.
Advanced knowledge of data sources, tools, statistical principles and methodologies, and techniques.
Advanced proficiency in Excel (VBA, macros, scripts, formulas, data visualization, etc.), PowerPoint, and statistical software packages (SAS, Emblem).
Must have good planning, analytical, decision-making and communication skills. Solid understanding of business to improve business outcomes.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
Auto-ApplyProvider Contracting Senior Analyst - Cigna Healthcare - Remote
Remote
can be located anywhere in the USA
This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider recruitment and contracting as well as managing contracted provider relationships for a specified territory. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks. Ability and willingness to travel frequently within the US including overnight stays. Conduct quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented and standard operating policies and procedures. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in the Network Management Organization.
Responsibilities:
Recruiting providers to join Cigna's dental networks (PPO & DHMO):
Field Recruitment: Candidates will visit offices in person (25-50% travel)
Outbound Calling: Candidates will follow up with visited offices via phone at home
Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs
Achieve competitive and cost-effective contracts in assigned areas or assigned client/customer needs
Negotiate contracts and recruit dental providers to become a Cigna PPO and/or DHMO network provider.
Explain plans, policies, and procedures to potential providers
Maintain positive relationships with health care professionals and their office staff extending high quality service
Conduct negotiations and ensure the smooth operation and administration of provider agreements
Support and retention of offices in our dental networks
Complete onsite quality assessments
Respond to provider inquiries, concerns, complaints, appeals and grievances
Provide ongoing product education to dentists and their staff
Work to achieve contract discounts with new providers and current providers through thoughtful negotiation
Use data and facts to identify and overcome objections
Prioritize and organize own work to meet deadlines, and reach established personal and department goals
Conduct ongoing support to contracted providers in our networks via telephone or by personal relationship visits.
Requirements:
High School Diploma or equivalent required
1-3 year plus experience in healthcare administration or provider relationship management, preferably experience working with Dental offices
Strong skill set required in the following areas: analytical, negotiations, financials, presentation skills, written and oral communication skills
Strong negotiation and communication skills
Self-Starter and organized
Intermediate proficiency in Microsoft Office products required
Valid drivers license
Phone Etiquette - Inbound/Outbound calls
Ability to manage multiple priorities in a fast-paced environment
Strong relationship management skills: ability to foster collaboration, value other perspectives and gain support and buy-in
Sales Experience is a plus
Bilingual is a plus (English and Spanish)
This position can be located anywhere in the USA
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 58,500 - 97,500 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Auto-ApplySenior Analyst, Product Research- PL Auto Delivery
Columbus, OH jobs
Are you ready to make a significant impact in the world of personal auto insurance? Join our Personal Lines Auto Delivery team, where you'll play a key role in shaping and executing innovative pricing programs that drive USRM's profit and growth goals. You'll take ownership of end-to-end rollouts for assigned states, ensuring compliance with regulations while collaborating closely with stakeholders like the Director of State Operations. With a focus on project management, you'll simplify complex concepts and conduct deep analyses to guide strategic decisions. If you thrive in fast-paced environments and love creative problem-solving, this role offers a unique opportunity to develop your expertise in pricing and product ecosystems while fostering cross-functional partnerships. Together, we can transform the way auto insurance works!
**This position may have in-office requirements depending on candidate location. The level of position offered will be based on skills and experience at manager discretion. **
Responsibilities:
Fully own and execute on assigned states' end-to-end rollout of the latest personal auto insurance pricing programs.
Gather and document product requirements, clearly communicate requirements to stakeholders, and ensure accurate implementation.
Act as the subject matter expert for the pricing program and assigned states, provide thoughtful recommendations that influence state decisions and help drive corporate strategy.
Lead cross-functional workstreams and manage moderate to high complexity projects.
Conduct complex analyses to drive and support business decisions; where necessary, conduct in depth research of competitor offerings and filings.
Educate IT partners on business vision and plan, and both IT and business partners on the impact of changes.
Independently manage project timelines, flag risks and develop contingency plans, escalate blockers as appropriate.
Regularly update leadership and stakeholders on project progress, addressing concerns and managing communication channels.
Lead job shadow discussions with less experienced analysts. Provides technical training and user support to business groups.
You Would Love this Job if you:
Like to understand how things work (soup to nuts!)
Enjoy making a tangible impact to the state or our bottom line
Excel at project management - this work involves many moving pieces across teams, hand-offs, coordination
Can take complex concepts and simplify for various audiences
Thrive in a fast-paced environment with shifting priorities
Like to develop creative solutions to recurring and unique problems
Have strong attention to detail
Appreciate thought-partnering with Directors of State Operations to implement an accurate rating program
Are a fast learner that can apply new concepts quickly
Can work independently and manage time effectively
What you will gain from this role:
Deep understanding of how we build and bring rating programs to market (e.g., data & mechanics)
Deep understanding of the entire product & pricing ecosystem in USRM
Gain exposure to many different parts of the organization (e.g., State Management, Technology, Data Science)
Project and stakeholder management skills
Foundational knowledge of product & pricing to succeed in Product or other parts of USRM
Qualifications
Bachelor's degree in mathematics, economics, statistics, or other quantitative field Minimum 4 year's relevant work experience, typically 6 years.
Master's degree beneficial. Advanced proficiency in Excel, PowerPoint, and statistical software packages (e.g., SAS, Emblem).
Must have strong planning, organizational, analytical, decision making and communication skills.
Experience managing projects preferred.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
Auto-ApplySr Data Solutions Analyst
Remote
Join Liberty Mutual's dynamic Corporate Finance Data Strategy and Governance Team as a Sr. Data Solutions Analyst! In this role, you'll be at the forefront of standardizing financial data with our innovative Financial Data platform. Leverage your financial insurance expertise and critical thinking to craft sophisticated data solutions that boost data accessibility and transparency for our stakeholders. Together, let's redefine the future of data at Liberty Mutual!"
This person will act as financial data steward for Liberty Mutual's financial data. Working with the Business, IT and Corporate Finance, this person will help shepherd data through our strategic data platform. This will include analysis of source data to determine the transformation needed to standardize and defining the financial data that will be passed to downstream systems and reporting.
Responsibilities:
Under limited direction, prototypes/develops data solutions of high complexity to meet the needs of the organization and business customers.
Designs proof-of-concept solutions utilizing an advanced understanding of financial insurance knowledge and multiple coding languages to meet technical and business requirements.
Ability to perform iterative solution testing to ensure specifications are met.
Outstanding organizational skills and ability to manage multiple priorities while maintaining attention to detail and ensuring tasks are completed accurately and timely.
Designs and develops data solutions that enables effective self-service data consumption and can describe their value to the customer.
Assists stakeholders in defining metrics that are impactful to the business.
Prioritize efforts based on customer value.
Has a strong understanding of Agile techniques and demonstrated experience in fostering cross-functional collaboration between business and technology teams.
Works with IT to help scale prototypes.
Maintains proof-of-concepts and prototype data solutions, and handles any assessment of their viability and scalability, with own team or in partnership with IT.
Working with IT, assists in building robust systems focusing on long-term and ongoing maintenance and support.
Ensures data solutions include deliverables required to achieve high quality data.
Display a basic understanding of complex multi-tier, multi-platform systems, and applies principles of metadata, lineage, data dependencies and hierarchy, business definitions, compliance, and data security to project work.
Has a strong understanding of Business Intelligence tools, including visualization and user experience techniques.
Ability to create visual tools to display complex processes or concepts (Lucid or Mural experience a plus)
Qualifications
Bachelor`s Degree in Math, Business, Computer Science, Computer Engineering, or related discipline preferred
3-5 years' experience in coding for data management, data warehousing, or other data environments.
3-5 years of experience in accounting, finance or data analysis is preferred
Insurance experience required
Strong written and oral communication skills required
Jira experience strongly preferred
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
Auto-ApplySenior Analyst, Product Analysis, Data Science Infrastructure
Remote
Are you passionate about pricing in the Insurance Industry? Would you like to join a dedicated team responsible for deploying pricing programs across all our retail lines nationwide? This is then your next job!
The USDS Earnix team is looking for a Senior Analyst, Product Analysis to design and build major pricing programs in Earnix. The Earnix initiative will transform our pricing ecosystem and post modeling processes to increase speed to market and deploy more sophisticated models across LOBs.
**This position may have in-office requirements dependent upon candidate location.**
In addition to building best practices within Earnix, this role will collaborate closely with modeling, data and technology teams to:
Build USDS pricing programs in Earnix.
Assist on designing best-in-class capabilities to support post-modeling activities, including calibration, dislocation, and filing.
Ensure accuracy of all pricing and non-pricing outputs from Earnix.
Coordinate planning and execution with IT/Experience/MDS with understanding of high-level rating architecture.
Assist on creating and maintaining rigorous data models for Earnix analytical projects and API.
Assist on designing and implementing other use cases of Earnix as a rating engine.
As required, troubleshoot and support post launch queries and issues.
Adopt transformational mindset to improve and automate processes where applicable.
Regularly engages with the data science community and participates in cross-functional working groups.
Qualifications
Bachelor's degree in business, information management, economics, or other quantitative field. Master's degree preferred.
Minimum 3 years, typically 4 years or more of relevant work experience.
Knowledgeable in data query languages and tools; proficient in new and emerging technologies; may possess data modeling skills.
Must have good planning, organizational, analytical, decision making and communication skills.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
Auto-ApplySenior IT Data Analyst
Remote
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Integrates, conforms, profiles and maps complex data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs.
Interprets and analyzes complex data from multiple sources including claims, provider, member, and encounters data. Proactively identifies and assesses the business impact of trends
Develops, executes, maintains, and troubleshoots complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools
Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers
Manages multiple complex and variable tasks and data review processes with no supervision within targeted timelines and succeeds in a demanding, quickly changing environment
Delivers business solution architecture and implementation validation
Engages in data profiling and source to target mapping.
Works on complex data integration from disparate sources.
Applies senior level expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products
Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners
Engages with customers and business partners to gather requirements and validate results
Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Technical Skills:
One or more of the following skills are desired.
Experience with Big Data; Data Processing
Experience with Data Manipulation; Data Mining
Experience with one or more of the following Programming Concepts; Programming Tools; Python (Programming Language); SQL (Programming Language)
Experience with Agile Software Development
Soft Skills:
Intermediate - Seeks to acquire knowledge in area of specialty
Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Intermediate - Ability to work independently
Intermediate - Demonstrated analytical skills
Intermediate - Demonstrated project management skills
Intermediate - Demonstrates a high level of accuracy, even under pressure
Intermediate - Demonstrates excellent judgment and decision making skills
Pay Range: $73,800.00 - $132,700.00 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
Auto-ApplySales Operations Analyst - Shockwave Medical
Santa Clara, CA jobs
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at *******************
Job Function:
Sales Enablement
Job Sub Function:
Contract Administration and Management
Job Category:
Professional
All Job Posting Locations:
Santa Clara, California, United States of America
Job Description:
Johnson & Johnson is hiring for a Sales Operations Analyst - Shockwave Medical to join our team. The position is FULLY REMOTE and can sit anywhere in the US.
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow and profoundly impact health for humanity. Learn more at *******************/.
Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments. Ready to join a team that's pioneering the development and commercialization of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through its differentiated and proprietary local delivery of sonic pressure waves for the treatment of calcified plaque.
Shockwave Medical is looking for a Sales Operations Analyst to join its world class team. This role is responsible for analyzing complex data, generating both conclusions and recommendations, and effectively communicating those to decision-makers. The current environment is best suited for someone with a passion for improving existing processes and who has the ability to juggle multiple priorities in a fast-paced growing organization. In this role, you'll be working with sales leadership (domestic and international) to identify issues and develop and successfully implement solutions that will improve commercial operations.
Responsibilities
Analysis, Reporting, Data entry & Salesforce.com
* Self-direct and prioritize incoming requests for analysis projects. Conduct analyses, develop conclusions & communicate recommendations to Sales, Marketing, Operations, and Finance.
* Maintain and update sales hierarchy and roster in all applicable systems (salesforce.com, QAD, etc.).
* Create, monitor, support and manage commercial, contract and sales operations reports and dashboards in Excel, Salesforce and Tableau.
* Develop standardized tools, methodologies and processes aimed at improving operational efficiency.
* Manage data in CRM and other databases.
Commercial Operations Strategic Support
* Support contract management, including compliance analysis (inventory, volume, etc.) and reporting.
* Lead and support key commercial operations initiatives related to system and process improvements.
* Partner with different stakeholders to build and streamline commercial operations processes.
* Engage in frequent interaction with sales, finance, and commercial operations teams to assist with questions, process improvements, and complex sales flows.
* Contribute to various day-to-day activities and manage projects within the commercial operations team and other departments as needed.
Requirements
* Bachelor's Degree in business/technical field, or 5+ years of directly related work experience.
* 2+ years' experience in Sales Operations, Finance, or other analytical function.
* Strong background in a multi-disciplinary environment with the need for high flexibility.
* Experience in medical device or other life sciences industry is a plus.
* MBA or Salesforce.com experience is highly desired.
* Ability to analyze large sets of data from multiple perspectives to generate conclusions and drive decisions.
* Ability to communicate complex analyses to people from different backgrounds both verbally and in writing.
* Ability to partner with key stakeholders in driving goals.
* Ability to efficiently and effectively handle multiple and shifting priorities.
* Self-motivated and able to work with minimal supervision.
* Highly organized with excellent time management skills and a strong attention to detail.
* Ability to manage ambiguity.
Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, please contact us via *******************/contact-us/careers or contact AskGS to be directed to your accommodation resource.
Required Skills:
Communication, Cross-Functional Collaboration, Data Capturing, Organizing, Time Management
Preferred Skills:
Business Behavior, Coaching, Collaborating, Contract Management, Detail-Oriented, Document Management, Issue Escalation, Office Administration, Problem Solving, Regulatory Compliance, Relationship Building, Risk Assessments, Sales Enablement, Sales Support, Sales Terms and Conditions, Tender Management
The anticipated base pay range for this position is :
US: $79,000 - $124,200/ Bay Area: $91,000 -$147,200
Additional Description for Pay Transparency:
Subject to the terms of their respective plans, employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave - 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave - 10 days Volunteer Leave - 4 days Military Spouse Time-Off - 80 hours Additional information can be found through the link below. *********************************************
Auto-ApplyRevenue Cycle Subject Matter Expert - Remote
Senior analyst job at UnitedHealth Group
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.**
As a Revenue Cycle Subject Matter Expert (SME), you will be the strategic bridge between client operations and automation delivery-defining impactful use cases, facilitating solution-oriented discussions, and guiding process transformation. You'll lead discovery through shadowing sessions, document high-level success metrics, and ensure automation strategies align with client goals. With a solid presence in daily stand-ups, you'll approve technical documentation, resolve client-related issues, and provide critical process clarifications to keep automation initiatives moving forward with precision and purpose.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Collaborate with analysts to identify automation opportunities
+ Collaborate with architects and analysts on the team to translate identified business processes into automation opportunities
+ Engage with clients and executive leadership to present automation strategies, share insights, and facilitate solution-oriented discussions
+ Define use cases in collaboration with the client
+ Conduct shadowing sessions with various business process owners to understand current and future state processes
+ Document high-level use cases and success/ROI metrics
+ Approve Process Design Document (PDD) before bot development
+ Participate in daily stand-up meetings
+ Provide process clarifications
+ Resolve client-related issues during stand-ups
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 hands-on experience in revenue cycle operations, with demonstrated expertise across front-end (e.g., patient access), mid-cycle (e.g., coding, documentation), and back-end (e.g., billing, collections) functions
+ 4+ years of experience supporting initiatives across front-end (e.g., patient access), mid-cycle (e.g., clinical documentation, coding), and back-end (e.g., billing, collections) operations
+ 3+ years of experience in a consulting or client-facing role, with a focus on delivering strategic process improvement and automation solutions in dynamic healthcare environments
+ 3+ years of experience in facilitating workshops, discovery sessions, and cross-functional meetings, leading to the identification and documentation of seven use cases and automation opportunities for clients
+ Experience presenting executive leadership, with the ability to distill complex operational challenges into strategic insights and ROI-driven recommendations-supported by at least five executive-level presentations
+ Experience having authored and validated high-level use cases, success metrics, and Process Design Documents (PDDs) for at least five automation initiatives, demonstrating rigorous documentation skills
+ Experience with resolving client-related issues in real time, with active participation in daily stand-ups and a history of supporting cross-functional delivery teams through process clarifications and issue resolution
**Preferred Qualifications:**
+ Proven expertise in process redesign and systems implementation, driving operational efficiency and technology adoption
+ Hands-on proficiency with automation technologies, including Robotic Process Automation (RPA), Intelligent Document Processing (IDP), and workflow orchestration platforms such as UiPath, Automation Anywhere, or Power Automate
+ Leadership in cross-functional teams, fostering collaboration across business, technical, and operational stakeholders
+ Educational or professional background in engineering, providing a solid foundation in systems thinking and technical problem-solving
*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 $89,900 to $160,600 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._
EDW Medicaid Subject Matter Expert or Data Specialist - Remote
Senior analyst job at UnitedHealth Group
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.
This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data.
Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some (
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:
* Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations
* With the specialized knowledge of the Medicaid and Children's Health Insurance Programs (CHIP), lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient eligibility, provider enrollment, and third-party liability
* Proactively identify and understand state Medicaid agency data needs and determines the recommended solution to meet them with credible reason, justification and validated proof of concepts
* Direct technical and business teams on healthcare topics understanding and utilizing healthcare data appropriately
* Proactively suggest and recommend enhancements and improvements throughout the project processes, driven by Medicaid best practices, standards and policies
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:
* 10+ years of experience in information technology with 5+ years of experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems
* 2+ years of experience working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects
* Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered
* Understanding of claims, recipient/eligibility, and provider/enrollment data processes
* Proven ability to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets
* Proven excellent verbal/written communication and presentation skills, manager/executive/director-level client facing, team collaboration, and mentoring skills
* Proven solid culture fit, demonstrating our culture values in action (Integrity, Compassion, Inclusion, Relationships, Innovation, and Performance)
* Ability to travel to Springfield, IL two (3) to three (4) times per year or as needed
Note: Core customer business hours to conduct work is M-F 8 AM - 5 PM CST.
Preferred Qualifications:
* 2+ years of experience in HEDIS, CHIPRA or similar quality metrics
* Experience with data analysis using Teradata Database Management System or other equivalent database management system
* Experience using JIRA, Rally, DevOps or equivalent
* Experience in large implementation or DDI project
* Located within driving distance (3 - 5 Hours) of Springfield, IL
* 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.