Business Analyst for Risk Adjustment Coding Quality - Remote
Senior business 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.**
The Business Analyst Consultant provides advanced analytical and consultative support for complex business challenges. This role serves as a subject matter expert and key resource for critical issues, offering innovative solutions and strategic insights within the Risk Adjustment Coding Quality function. The position will engage with functional or segment teams and plays a pivotal role in driving process and performance improvements.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Review work performed by others and provide recommendations for improvement
+ Develop innovative approaches and solutions to complex problems
+ Serve as a leader and mentor within the team
+ Act as a sought-out expert and key resource on complex and/or critical issues
+ Anticipate customer needs and proactively develop solutions to meet them
+ Solve complex problems and perform conceptual analyses
+ Forecast and plan resource requirements to support business objectives
+ Authorize deviations from established standards when necessary
+ May lead functional or segment teams or projects
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:**
+ 3+ years of experience and technical knowledge of Tableau, Power BI and SQL
+ 3+ years of experience in resource planning and process improvement
+ 3+ years of experience of solid analytical and problem-solving skills
+ 3+ years of experience in developing innovative solutions and conceptual analysis
+ 3+ years of experience with the ability to anticipate and address customer needs proactively
+ 2+ years of experience leading and mentoring others
+ Proficient with MS Office Suite
+ Ability to travel approximately 10% or less
*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._
Business Analyst IV Claims Configuration
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.
Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes
Resolve issues and identify opportunities for process redesign and improvement
Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
Evaluate risks and concerns and communicate to management
Coordinate with various business units and departments in the development and delivery of training programs
Develop, share, and incorporate organizational best practices into business applications
Oversee all changes to departmental policies and procedures, including communicating and implementing the changes
Serve as the subject matter expert on the assigned function product to ensure operational performance
Ability to travel
Education/Experience: Bachelor's degree in related field or equivalent experience. 6+ years of business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing 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.
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.
Pay Range: $86,000.00 - $154,700.00 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-ApplyBusiness Analyst III
Remote
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Perform various analysis and interpretation to link business needs and objectives for assigned function.
Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
Identify and analyze user requirements, procedures, and problems to improve existing processes
Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
Identify ways to enhance performance management and operational reports related to new business implementation processes
Coordinate with various business units and departments in the development and delivery of training programs
Develop, share, and incorporate organizational best practices into business applications
Diagnose problems and identify opportunities for process redesign and improvement
Formulate and update departmental policies and procedures
Serve as the subject matter expert on the assigned function product to ensure operational performance
Ability to travel
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 business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred. Experience with SQL, Python, and Power BI 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.
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.
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-ApplyBusiness Systems Analyst II
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: Collaborates with business and technology stakeholders to analyze and translate moderately complex business requirements into clear functional and non-functional specifications for technical implementation.
Gathers and validates business / technology requirements to establish scope and parameters of requirements and define project impact, outcome criteria, and metrics
Analyzes and verifies requirements for completeness, consistency, comprehensibility, feasibility, and conformity to standards
Translates conceptual user requirements into functional requirements in a clear manner that is comprehensible to developers / project team
Creates systems and business process models, specifications, diagrams, and charts to provide direction to developers and/or the project team
Interprets user requirements into feasible options and communicate these back to the business stakeholders
Manages and tracks the status of requirements throughout the project lifecycle; enforce and redefine as necessary
Communicates changes, enhancements, and modifications of business requirements to project managers, sponsors, and other stakeholders so that issues and solutions are understood
Plans user acceptance testing (UAT)
Monitors and review levels of IT services specified in the service-level agreements (SLAs) with the business
Research, reviews, and analyzes the effectiveness and efficiency of existing requirement gathering processes and develop strategies for enhancing or further leveraging these processes; quantify potential efficiency opportunities and track accordingly
Maintains system protocols by writing and updating procedures
Provides references for users by writing and maintaining user documentation; provide help desk support; train users
Prepares technical reports by collecting, analyzing, and summarizing information and trends
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 2 - 4 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 Data Processing
Knowledge of health care payer business functions and operations
Knowledge of Agile Software Development
Soft Skills:
Seeks to acquire knowledge in area of specialty
Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Ability to work independently
Pay Range: $62,400.00 - $112,400.00 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-ApplyMartech Business Analyst
Saint Louis, MO jobs
We are seeking a strategic, analytical contributor to join the Platform & Delivery Efficiency Team as a Workstream Analyst. This role is pivotal in translating business priorities into clear, actionable deliverables, supporting prioritization, and enabling value realization across delivery strategy and CDP initiatives.
WHAT YOU'LL BE DOING
Partner with business leaders and stakeholders to translate strategic priorities into actionable deliverables.
Document the ask, goals, requirements, measurable outcomes, and success criteria for each initiative.
Provide analysis to support prioritization, value realization, and trade-off decisions.
Identify and align with cross-functional teams required to deliver on strategic deliverables.
Ensure delivery teams have clarity on scope, success criteria, and expected outcomes.
Support intake of new requests and facilitate review and prioritization in Steerco forums.
Participate as a member of the delivery team, adding clarity and a path forward when requirements change or blockers arise.
Funnel shovel-ready work to delivery teams for estimation and scheduling/resource alignment.
Track progress and support reporting on KPIs and value delivery.
RELEVANT SKILLSET
Hands‑on marketing technology experience with tools such as CDPs, ESPs, marketing automation platforms, or campaign orchestration systems preferred.
Proven ability to map MarTech data flows, translate marketing requirements into technical specs, and support implementation or integration work.
Experience in strategy, portfolio analysis, or business analysis within a cross-functional environment.
Demonstrated ability to translate business strategy into actionable plans and measurable outcomes.
Strong analytical skills; able to assess value, prioritize initiatives, and support trade-off decisions.
Excellent communication and stakeholder management skills.
Experience developing and maintaining roadmaps and dashboards.
Ability to work collaboratively across teams and influence without direct authority.
Familiarity with delivery frameworks, project management tools, and value realization methodologies.
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 75,200 - 125,400 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.
At The Cigna Group, 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), 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, click here.
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.
Auto-Apply
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.
Indiana Medicaid and Managed Care
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:
Perform various analysis and interpretation to link business needs and objectives for assigned function.
Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
Identify and analyze user requirements, procedures, and problems to improve existing processes
Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
Performs other duties as assigned
Complies with all policies and standards
Education/Experience:
Bachelor's degree in related field or equivalent experience. 0-2 years of business process analysis or data analysis experience. Project management experience preferred.
Member & Provider Solutions: Bachelor's degree in related field or equivalent experience. 0-2 years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Knowledge of data integration, software enhancements/planning and Agile preferred. Experience managing projects with a high reliance on technology preferred.
Pay Range: $26.50 - $47.59 per hour
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-ApplyBusiness Analyst IV Claims Configuration
Columbus, OH jobs
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:** Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.
+ Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
+ Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes
+ Resolve issues and identify opportunities for process redesign and improvement
+ Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
+ Evaluate risks and concerns and communicate to management
+ Coordinate with various business units and departments in the development and delivery of training programs
+ Develop, share, and incorporate organizational best practices into business applications
+ Oversee all changes to departmental policies and procedures, including communicating and implementing the changes
+ Serve as the subject matter expert on the assigned function product to ensure operational performance
+ Ability to travel
**Education/Experience:** Bachelor's degree in related field or equivalent experience. 6+ years of business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing 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._**
**_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._**
Pay Range: $86,000.00 - $154,700.00 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
Senior Business Intelligence Data Analyst
Columbus, OH jobs
**Become a part of our caring community and help us put health first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its pharmacy programs to achieve success on the Service Fund team. Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for pharmacy programs, working heavily with market and finance partners to achieve success on the Service Fund team. This individual will be responsible for the development, implementation and valuation of new pharmacy programs, as well as the maintenance of current programs.
+ Utilizes complex SQL, Azure Synapse Analytics and other technical skills to drive process improvement and assist in managing pharmacy program expense allocation
+ Conducts research and produces reporting of monthly activity, providing an understanding of how the data reconciles and what it means for current and potential programs
+ Assists in producing reports and completing ad hoc requests using Excel, PowerPoint, SQL, and other various analytical tools
+ Provides support for payments to value-based specialists
+ Aids in the evaluation of new pharmacy program opportunities
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree and 5+ years of data analysis experience OR Master's degree and 3+ years of data analysis experience
+ 2+ years' advanced experience developing complex SQL queries
+ 1+ years' experience in Healthcare related data ie. Provider, Insurance, etc.
+ Experience with pharmacy claims data
+ Advanced knowledge of Excel (ex. Pivot tables, Vlookups, formatting etc.)
+ Advanced experience working with big and complex data sets within large organizations
+ Proficiency in verbal and written communication to senior and executive leadership
**Preferred Qualifications**
+ Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field
+ Experience in health insurance related data ie. Medicare, Medicaid, Claims, Premium Data, etc.
+ Experience with Azure Synapse Analytics and/or Databricks
+ Experience with Pyspark and/or Python
+ Experience with tools such as Power BI for creating data visualizations
**Additional Information**
**_You must be authorized to work in the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role._**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Our Hiring Process**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video Interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone or computer. You should anticipate this interview to take approximately 10-15 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-LM1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$89,000 - $121,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-19-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Business Systems Analyst III, Operations
Cleveland, OH jobs
The Business Analyst is a part of the Product Management/Execution group that supports outlining and implementing software solutions. Business Analysts must be able to efficiently reach an understanding of complex tasks while using this understanding to produce project artifacts that satisfy project objectives. The Business Analyst will work as a liaison among various stakeholders to elicit, analyze, communicate, validate and document requirements for changes to business processes, policies and information systems. We are looking for someone insatiably inquisitive with attention to detail and empathetic to business needs, who will critically analyze and solve problems of a complex nature. Must be a team player with strong communication skills. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization.
Responsibilities
Collaborate with business stakeholders to gather and document requirements.
Analyze and model business processes to identify areas for improvement.
Develop and implement system solutions that meet business needs.
Conduct system testing and validation to ensure functionality and performance.
Provide ongoing support and training to users.
Create and maintain documentation for system processes and procedures.
Support risk management and change management activities.
Stay up-to-date with industry trends and best practices.
Qualifications
Bachelor's Degree required from college or university or 3+ years' experience in commercial insurance and accounts receivable setting
Knowledge of system development lifecycle (SDLC) and project management principles.
Proven experience as a Business Analyst or similar role.
Strong, professional communication skills including interacting with all levels of customer service including external customers, internal customers and senior management
Able to work effectively in a team environment, building rapport and relationships
Abie to work independently
Proficient in synthesizing information and conveying it in a way that fosters common understanding
Proficient in the use of Microsoft Office, particularly in Outlook, Word, Project and Visio
Preferred:
Prior experience in Commercial Lines Property & Casualty insurance.
The expected salary range for this role is $76,600- $100,000.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-IT1
#LI-HYBRID
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Not ready to apply? Connect with us for general consideration.
Auto-ApplyBusiness Systems Analyst - Claims
Cleveland, OH jobs
The Business Analyst is a part of the Claims Product Management/Execution group that supports outlining and implementing software solutions. Business Analysts must be able to efficiently reach an understanding of complex tasks while using this understanding to produce project artifacts that satisfy project objectives. The Business Analyst will work as a liaison among various stakeholders to elicit, analyze, communicate, validate and document requirements for changes to business processes, policies and information systems. We are looking for someone insatiably inquisitive with attention to detail and empathetic to business needs, who will critically analyze and solve problems of a complex nature. Must be a team player with strong communication skills. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization.
Responsibilities
Collaborate with business stakeholders to gather and document requirements.
Analyze and model business processes to identify areas for improvement.
Develop and implement system solutions that meet business needs.
Conduct system testing and validation to ensure functionality and performance.
Provide ongoing support and training to users.
Create and maintain documentation for system processes and procedures.
Support risk management and change management activities.
Stay up-to-date with industry trends and best practices.
Qualifications
Bachelor's Degree required from college or university or 3+ years' experience in commercial insurance and accounts receivable setting
Knowledge of system development lifecycle (SDLC) and project management principles.
Proven experience as a Business Analyst or similar role.
Strong, professional communication skills including interacting with all levels of customer service including external customers, internal customers and senior management
Able to work effectively in a team environment, building rapport and relationships
Abie to work independently
Proficient in synthesizing information and conveying it in a way that fosters common understanding
Proficient in the use of Microsoft Office, particularly in Outlook, Word, Project and Visio
Preferred:
1+ years of experience with Salesforce Automations such as Flows, Process Builders. Strong Flow knowledge is preferred, with emphasis on record triggered flows, collections, loops, and working with and configuring 3rd party lightning components.
Strong technical knowledge of Salesforce administration and configuration; Salesforce Advanced Administrator Certification preferred.
Prior experience in Commercial Lines Property & Casualty insurance litigation, inclusive of Workers' Compensation related litigation, highly desired. Hands on involvement with litigation facing solutions and experiences.
The expected salary range for this role is $76,600- $100,000.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-IT1
#LI-HYBRID
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Auto-ApplyBusiness Systems Analyst II
Cleveland, OH jobs
The Business Systems Analyst at AmTrust is the individual who has the primary responsibility to elicit, analyze, validate, specify, verify, and manage the real needs of the project stakeholders, including customers and end users. The BSA serves as the conduit between the customer community and the software development team through which requirements flow. They facilitate discussions amongst business stakeholders across the organization to ensure all groups impacted by a project are given an opportunity to provide the necessary feedback as functional requirements are gathered and confirmed. Projects can range from minor enhancements to larger and more complex work items for insurance quoting and policy management systems, and responsibilities may include production support on assigned systems.
The BSA is responsible for working with IT to deliver software solutions for new and existing products and services within our company. The BSA is involved at some level throughout the entire software development life cycle and collaborates with the technology teams to ensure that they have the information they need for successful solution delivery. They serve the agile teams by ongoing and iterative prioritization of the product backlog, ensuring requirements for user stories/features are complete prior to each sprint, and addressing questions the team may have in sprint planning and throughout the sprint. The BSA is responsible for seeing that the tasks are performed properly and verifying customer satisfaction.
Qualifications
* Bachelor of Science Degree or equivalent business experience required.
* 3 plus years of experience in the design and development of complex business systems preferably in the Property & Casualty insurance industry.
* Good working and solid background knowledge of core business analysis practices & utilization of various techniques.
* Successful elicitation, prioritization, documentation, and organization of requirements.
* Ability to document and analyze business and system processes.
* Ability to provide recommendations for business and/or system processes.
* Effective and successful requirement estimation.
* Experience with full SDLC methodology including requirements, design, testing and support in an agile environment.
* Ability to communicate effectively with both business and technical staff and convey complex ideas both verbally and in written form.
* Flexible team player who can work in a fast-paced environment where ambiguity exists, and priorities are subject to change.
* Ability to successfully collaborate with all Project Sponsors/Governance, Core Project & Delivery Team participants.
* Ability to share knowledge and train others.
* Ability to multi-task (i.e., successfully work on several projects at the same time).
* Ability to work independently as well as effectively on medium to large projects.
* Demonstration of timely delivery of projects.
* Ability to professionally manage challenging situations.
* Must be proficient in Word and Excel.
* 3 plus years of experience in Commercial Property & Casualty insurance required.
The expected salary range for this role is ($58,500.00 - $90,000.00).
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-IT1
#LI-HYBRID
#AmTrust
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Auto-ApplyBusiness Systems Analyst II
Cleveland, OH jobs
The Business Systems Analyst at AmTrust is the individual who has the primary responsibility to elicit, analyze, validate, specify, verify, and manage the real needs of the project stakeholders, including customers and end users. The BSA serves as the conduit between the customer community and the software development team through which requirements flow. They facilitate discussions amongst business stakeholders across the organization to ensure all groups impacted by a project are given an opportunity to provide the necessary feedback as functional requirements are gathered and confirmed. Projects can range from minor enhancements to larger and more complex work items for insurance quoting and policy management systems, and responsibilities may include production support on assigned systems.
The BSA is responsible for working with IT to deliver software solutions for new and existing products and services within our company. The BSA is involved at some level throughout the entire software development life cycle and collaborates with the technology teams to ensure that they have the information they need for successful solution delivery. They serve the agile teams by ongoing and iterative prioritization of the product backlog, ensuring requirements for user stories/features are complete prior to each sprint, and addressing questions the team may have in sprint planning and throughout the sprint. The BSA is responsible for seeing that the tasks are performed properly and verifying customer satisfaction.
Qualifications
Bachelor of Science Degree or equivalent business experience required.
3 plus years of experience in the design and development of complex business systems preferably in the Property & Casualty insurance industry.
Good working and solid background knowledge of core business analysis practices & utilization of various techniques.
Successful elicitation, prioritization, documentation, and organization of requirements.
Ability to document and analyze business and system processes.
Ability to provide recommendations for business and/or system processes.
Effective and successful requirement estimation.
Experience with full SDLC methodology including requirements, design, testing and support in an agile environment.
Ability to communicate effectively with both business and technical staff and convey complex ideas both verbally and in written form.
Flexible team player who can work in a fast-paced environment where ambiguity exists, and priorities are subject to change.
Ability to successfully collaborate with all Project Sponsors/Governance, Core Project & Delivery Team participants.
Ability to share knowledge and train others.
Ability to multi-task (i.e., successfully work on several projects at the same time).
Ability to work independently as well as effectively on medium to large projects.
Demonstration of timely delivery of projects.
Ability to professionally manage challenging situations.
Must be proficient in Word and Excel.
3 plus years of experience in Commercial Property & Casualty insurance required.
The expected salary range for this role is ($58,500.00 - $90,000.00).
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-IT1
#LI-HYBRID
#AmTrust
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Not ready to apply? Connect with us for general consideration.
Auto-ApplyBusiness Systems Analyst II
Cleveland, OH jobs
The Business Systems Analyst at AmTrust is the individual who has the primary responsibility to elicit, analyze, validate, specify, verify, and manage the real needs of the project stakeholders, including customers and end users. The BSA serves as the conduit between the customer community and the software development team through which requirements flow. They facilitate discussions amongst business stakeholders across the organization to ensure all groups impacted by a project are given an opportunity to provide the necessary feedback as functional requirements are gathered and confirmed. Projects can range from minor enhancements to larger and more complex work items for insurance quoting and policy management systems, and responsibilities may include production support on assigned systems.
The BSA is responsible for working with IT to deliver software solutions for new and existing products and services within our company. The BSA is involved at some level throughout the entire software development life cycle and collaborates with the technology teams to ensure that they have the information they need for successful solution delivery. They serve the agile teams by ongoing and iterative prioritization of the product backlog, ensuring requirements for user stories/features are complete prior to each sprint, and addressing questions the team may have in sprint planning and throughout the sprint. The BSA is responsible for seeing that the tasks are performed properly and verifying customer satisfaction.
Qualifications
Bachelor of Science Degree or equivalent business experience required.
3 plus years of experience in the design and development of complex business systems preferably in the Property & Casualty insurance industry.
Good working and solid background knowledge of core business analysis practices & utilization of various techniques.
Successful elicitation, prioritization, documentation, and organization of requirements.
Ability to document and analyze business and system processes.
Ability to provide recommendations for business and/or system processes.
Effective and successful requirement estimation.
Experience with full SDLC methodology including requirements, design, testing and support in an agile environment.
Ability to communicate effectively with both business and technical staff and convey complex ideas both verbally and in written form.
Flexible team player who can work in a fast-paced environment where ambiguity exists, and priorities are subject to change.
Ability to successfully collaborate with all Project Sponsors/Governance, Core Project & Delivery Team participants.
Ability to share knowledge and train others.
Ability to multi-task (i.e., successfully work on several projects at the same time).
Ability to work independently as well as effectively on medium to large projects.
Demonstration of timely delivery of projects.
Ability to professionally manage challenging situations.
Must be proficient in Word and Excel.
3 plus years of experience in Commercial Property & Casualty insurance required.
The expected salary range for this role is ($58,500.00 - $90,000.00).
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-IT1
#LI-HYBRID
#AmTrust
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Auto-ApplyIT - Business Analyst I - IV (Remote)
Remote
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.
Build your future with us
The Cincinnati Insurance Companies' IT department is currently seeking business analysts to act as the client relationship liaison between a business unit and the IT department; and work with IT service or project teams to collect, clarify and translate business requirements into documentation and conceptual design (using appropriate tools and models) from which technology solutions can be developed.
Work location and flexibility are subject to change based on evolving business needs, but generally, selected candidates who reside:
* within 50 miles of Headquarters may be expected to work in a hybrid capacity, combining remote and onsite work when business needs necessitate.
* more than 50 miles from Headquarters must be flexible and available to travel to Fairfield, OH, on an occasional basis for special events, training sessions, or key meetings.
To ensure active engagement in meetings, it is mandatory for all IT associates to have cameras turned on for all interactions with other associates, customers, and stakeholders. Your camera must be on and positioned correctly to clearly show your face. This practice is crucial for maintaining connection and engagement, as non-verbal cues are essential for effective communication.
Be ready to:
* capture, analyze and document business and user requirements
* facilitate meetings with IT and business unit management and staff accordingly
* understand the business domain, its processes, systems, data and the inherent linkages among them and is able to execute on project plans by creating deliverables to meet project needs
* participate in or direct business process analysis in support of requirements identification
* partner with test team and assist in the preparation of the testing strategy and testing execution plans to ensure test cases map to requirements
* provide assistance with how-to requirements in terms of reporting documentation
* contribute to the development of IT Business Analysis & Testing Services team best practices via research and mentoring
* be an active participant in all phases of the project lifecycle and work with several parties to ensure that all business requirements are understood, documented and met
* define (or redefine) business needs for new and/or enhanced products, services or optimized business processes
* build and cultivate strong relationships with stakeholders; consult with stakeholders to understand goals and objectives
Be equipped with:
* three years or more of business analysis experience supporting medium-sized initiatives
* detail oriented, highly organized and able to manage multiple project tasks concurrently
* ability to be flexible and able to deal with frequently-changing priorities in a fast-paced environment
* strong analytical and problem-solving skills
* excellent communication skills
* adept and effective meeting facilitator
* clear and effective writer and documenter with experience writing technical documentation
* experience gathering requirements
* advanced knowledge of and experience with business modeling tools, such as process and workflow modeling
* ability to create test scripts and perform software tests
* knowledge of writing test cases and test plans
* ability to oversee/direct target user group profiling
* experienced and skilled user of office productivity tools, including advanced knowledge of Microsoft Word, Excel and PowerPoint
* explicit insurance knowledge and experience preferred
Bring education or experience from:
* university degree/college diploma or equivalent business experience
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.
Business Intelligence Lead
Columbus, OH jobs
**Become a part of our caring community and help us put health first** The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
The Business Intelligence Lead describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data to create insightful and actionable business information. This individual advises executives to develop functional strategies (often segment specific) on matters of significance. The Business Intelligence Lead exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. The Business Intelligence Lead uses independent judgment requiring analysis of variable factors and determining the best course of action.
**Use your skills to make an impact**
**Required Qualifications**
+ Undergraduate degree
+ Minimum 8 years of technical experience in data reporting and analytics utilizing Power BI or similar tool
+ Minimum 2 years of experience in leading business intelligence strategy and/or processes
+ Experience working with large and complex data sets within large organizations and/or the analysis of healthcare data
+ Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
+ Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
+ Excellent communication and presentation skills to include the ability to communicate and present technical/financial details to Senior/Executive level leadership and/or Senior Government officials
**Work-At-Home Requirements**
+ At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Preferred Qualifications**
+ Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field
+ Minimum 4 years of experience working in the LI NET program and 4 years' technical experience in data reporting and analytics
+ Experience or exposure to generative AI models for data analysis tools
+ Advanced experience in SQL, SAS, Azure Synapse Analytics (ASA), and/or Databricks
+ Expertise in data mining, forecasting, simulation, and/or predictive modeling
+ Experience creating analytics solutions for various healthcare sectors
+ Experience in Medicare/Medicaid, CMS (Centers for Medicare & Medicaid Services) or other Federally regulated healthcare programs
+ Demonstrated capability with coaching, mentoring and developing associates formally and informally
+ Ability to monitor and recommend improvements to increase team productivity by patiently providing expert advice and assistance to other associates on the team
**Additional Information**
+ As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
+ If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$117,600 - $161,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Personal Lines - Business Analyst I-lll
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
The Personal Lines Operations department is currently seeking a business analyst. The business analyst acts as a liaison between the users of Diamond and the technical development teams.
The PL Business Analyst gathers information from state filed rules, rates and forms; tests and reviews existing workflows; interviews internal end-users and works with development staff to develop solutions that maximize functionality for our users while keeping within time and resource constraints. The PL Business Analyst develops requirement specifications and follows established procedures to communicate the requirements to the team. The PL Business Analyst acts as a Product Owner for individual Agile teams within the Personal Lines Department.
Salary: The pay range for this position is $55,000 - $85,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be ready to:
* analyze state filing information to determine how changes should be incorporated into Diamond
* gather and document Personal Lines business requirements
* communicate effectively
* work with the technical development team to determine solutions to problems that consider timeliness, effectiveness, and practicality in addressing customer needs
Be equipped with:
* strong decision making, logical thinking and sound judgment
* strong written and verbal communication skills
* a strong technical aptitude
* excellent analytical skills with a focus on attention to detail
You've earned:
* a Bachelor's Degree
* an API designation or an INS / AINS designation with 3 years of Personal Lines experience
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.
Lead IT Portfolio Management 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: In charge of the prioritization of projects, auditing project alignment with overall technical or business strategy, guiding resource allocation, and supporting the development of project or program execution plans. Manages Agile / Lean portfolios and supports overall strategy, investment funding, Agile portfolio operations, and Lean governance. Applies the concept of lean thinking to program and product and coaches stakeholders on these concepts to achieve objectives.
Facilitates the portfolio management processes to ensure strategic alignment on technologies and goals
Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project or product release success.
Creates visibility into areas struggling with scope, schedule, resources, or budget
Contributes to the development, management and optimization of portfolio, program, and project management methodologies and disciplines
Facilitates resource and budget planning with the IT teams on new demands and contributes to the sequencing of projects into the portfolio
Identifies dependencies and critical paths, and aids stakeholders in managing them
Improves and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and tool teams
Identifies and resolves problems often anticipating issues before they occur or before they escalate; develop and evaluate options and implements solutions
Analyzes project risk profile and balance at the portfolio level
Contributes to capacity planning for initial and ongoing identification of resource needs and scheduling that will be used for making critical portfolio decisions
Develop and maintain processes to facilitate integrated project scoping between various workgroups and identifies operational impacts and dependencies
Maintain departmental work process for IT controls
Analyze demand data to identify and report on trends
Identify key leading and lagging risk factors
Ensure compliance to all policies and procedures
Drive portfolio planning and operations for assigned portfolio
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Requires a Bachelor's degree and 5 - 7 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 ServiceNow
Experience with Data Analysis
Knowledge of IT hardware/software assets as well as knowledge of applications and application platforms
Knowledge of JIRA
Working knowledge of data manipulation using Excel
Working knowledge of MS PowerPoint
Soft Skills:
Seeks to acquire knowledge in area of specialty
Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Ability to work independently
Demonstrated analytical skills
Demonstrated project management skills
Demonstrates a high level of accuracy, even under pressure
Demonstrates excellent judgment and decision making skills
Ability to communicate and make recommendations to upper management
Ability to drive multiple projects to successful completion
License/Certification:
Certified Project Management Professional (PMP)-PMI preferred
Certified Workforce Planning Professional preferred
Certified in Governance of Enterprise IT (CGEIT) preferred
Pay Range: $119,100.00 - $220,500.00 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-ApplyBusiness Analyst for Risk Adjustment Coding Quality - Remote
Senior business 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.
The Business Analyst Consultant provides advanced analytical and consultative support for complex business challenges. This role serves as a subject matter expert and key resource for critical issues, offering innovative solutions and strategic insights within the Risk Adjustment Coding Quality function. The position will engage with functional or segment teams and plays a pivotal role in driving process and performance improvements.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Review work performed by others and provide recommendations for improvement
* Develop innovative approaches and solutions to complex problems
* Serve as a leader and mentor within the team
* Act as a sought-out expert and key resource on complex and/or critical issues
* Anticipate customer needs and proactively develop solutions to meet them
* Solve complex problems and perform conceptual analyses
* Forecast and plan resource requirements to support business objectives
* Authorize deviations from established standards when necessary
* May lead functional or segment teams or projects
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:
* 3+ years of experience and technical knowledge of Tableau, Power BI and SQL
* 3+ years of experience in resource planning and process improvement
* 3+ years of experience of solid analytical and problem-solving skills
* 3+ years of experience in developing innovative solutions and conceptual analysis
* 3+ years of experience with the ability to anticipate and address customer needs proactively
* 2+ years of experience leading and mentoring others
* Proficient with MS Office Suite
* Ability to travel approximately 10% or less
* 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.
Senior 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-ApplyBusiness Intelligence Lead
Remote
Become a part of our caring community and help us put health first We're seeking a Business Intelligence Lead to join our team. This role is ideal for a strategic thinker and hands-on thought leader who thrives at the intersection of data, business strategy, and cross-functional collaboration. You'll be responsible for transforming raw data into actionable insights that directly influence executive decision-making and drive enterprise-wide initiatives.
What You'll Do:
Lead Strategic BI Initiatives: Design, develop, and deliver business intelligence tools and analyses that support key organizational priorities across sales, operations, and customer experience.
Partner with Senior Leadership: Serve as a trusted advisor to executives and business leaders, translating complex data into clear, actionable insights that inform strategic decisions.
Drive Analytical Excellence: Perform deep-dive analyses to uncover trends, relationships, and opportunities to inform decision-making.
Ensure Data Quality and Governance: Collaborate with data engineering and governance teams to ensure BI solutions are scalable, reliable, and aligned with enterprise standards.
What We're Looking For
Proven experience in business intelligence, analytics, and/or strategy advancement, ideally in a lead or senior role.
Expertise in BI tools (e.g., Power BI, Tableau, etc), SQL, and modern data platforms (e.g., Snowflake, DataBricks, etc).
Strong business acumen and the ability to communicate complex data concepts to executive leadership and non-technical stakeholders.
Demonstrated success in leading cross-functional projects and influencing strategic outcomes.
A passion for uncovering insights and driving measurable impact through data.
Why Join Us
Work directly with senior executives on high-visibility initiatives.
Be part of a team that values depth of thought, precision, and innovation.
Help shape the future of data-driven decision-making in a dynamic and evolving organization.
Use your skills to make an impact
Required Qualifications
Bachelor's degree and 8 or more years of technical experience in business intelligence, analytics, and/or strategy advancement, ideally in a lead or senior role.
Expertise in BI tools (e.g., Power BI, Tableau, etc), SQL, and modern data platforms (e.g., Snowflake, DataBricks, etc).
2 or more years of project leadership experience
Advanced experience working with big and complex data sets within large organizations
Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs
Preferred Qualifications
Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field
Advanced in SQL, SAS and other data systems
Expertise in data mining, forecasting, simulation, and/or predictive modeling
Experience creating analytics solutions for various healthcare sectors
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$117,600 - $161,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 12-19-2025
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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