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Operations Analyst jobs at VillageMD - 1587 jobs

  • Business Analyst (Finance)

    Christian Healthcare Ministries 4.1company rating

    Barberton, OH jobs

    The Business Analyst's role will elicit, analyze, specify, and validate the business needs of stakeholders, be they customers or end users. This includes interviewing stakeholders and gathering and compiling user requirements to understand the technology solutions they need. The Business Analyst will apply proven communication, analytical, and problem-solving skills to help the business make good technology decisions. The Business Analyst will also be proactive at following emerging Technology trends, watching for new technologies to optimize business processes. The Business Analyst will play a pivotal role in ensuring IT's understanding of business requirements. What's in it for you? Compensation based on experience Faith and purposed-based career opportunity! Fully Paid Health Benefit Retirement and Life insurance 12 Paid Holidays PLUS Birthday Lunch is provided DAILY. Professional Certification Development Hybrid remote/on-site work arrangements available Responsibilities Position will dually report into the Project Management office and Functional Vertical VP, the duties and responsibilities of the Business Analyst role include: Strategy and Planning Collaborate with project sponsors to determine project scope and vision. Clearly identify project stakeholders and establish user classes, as well as their characteristics. Conduct interviews to gather user requirements via workshops, questionnaires, surveys, site visits, workflow storyboards, use cases, scenarios, and other methods. Identify and establish scope and parameters of requirements analysis on a project-by-project basis to define project impact, outcome criteria, and metrics. Work with stakeholders and project team to prioritize collected requirements. Research, review, and analyze the effectiveness and efficiency of existing requirements-gathering processes and develop strategies for enhancing or further leveraging these processes. Acquisition and Deployment Assist in conducting research on software and hardware products to meet agreed-upon requirements and to support purchasing efforts. Participate in the QA of purchased solutions to ensure features and functions have been enabled and optimized. Participate in the selection of any requirements documentation software solutions that the organization may opt to use. Operational Management Analyze and verify requirements for completeness, consistency, comprehensibility, feasibility, and conformity to standards. Develop and utilize standard templates to write requirements specifications accurately and concisely. Translate conceptual user requirements into functional requirements in a clear manner that is comprehensible to developers/project team. Where applicable, develop prototypes of interfaces and attributes based on user requirements. Create process models, specifications, diagrams, and charts to provide direction to developers and/or the project team. Develop and conduct peer reviews of business requirements to ensure that requirement specifications are correctly interpreted. Assist with the interpretation of user requirements into feasible options and communicate these back to the business stakeholders. Manage and track the status of requirements throughout the project lifecycle; enforce and redefine as necessary. Communicate changes, enhancements, and modifications of business requirements - verbally or through written documentation - to project managers, sponsors, and other stakeholders so that issues and solutions are understood. Act as the departmental Solution(s) configuration subject matter expert (SME). Requirements Functional process expertise in Finance and Accounting systems and processes. Proven experience with business and technical requirements analysis, elicitation, modeling, verification, and methodology development. Experience overseeing the design, development, and implementation of software and hardware solutions, systems, or products. Ability to create systematic and consistent requirements specifications in both technical and user-friendly language. Exceptional analytical and statistical skills with the ability to apply them to systems issues and products as required. Demonstrated project management skills and project management software skills, including planning, organizing, and managing resources. Understanding of application development and software development life cycle concepts Able to influence and drive individuals and teams to meet key milestones and overcome challenges. Ability to work in a team and/or be an effective individual contributor. Experience with the following is preferred Professional certifications with International Institute of Business Analysis Accounting Practitioner Healthcare Industry Microsoft Office Suite of Products Monday Project Management Platform Sage Intacct Accounting Software About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health cost sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
    $57k-85k yearly est. 2d ago
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  • Business Analyst IV

    Caresource 4.9company rating

    Dayton, OH jobs

    The Business Analyst IV is a senior-level position responsible for driving strategic initiatives and leading cross-functional teams to deliver innovative solutions that address complex business challenges. This role bridges the gap between business needs and technology solutions while influencing organizational strategy and fostering a culture of collaboration and continuous improvement. Essential Functions: Establish and maintain strong relationships with senior stakeholders to understand business goals and drive alignment on strategic initiatives Review project artifacts such as business cases, contracts and architectural diagrams to ensure alignment with business objectives and requirements Identify, sequence, create, and maintain Epics throughout their lifecycle, ensuring traceability and alignment with strategic objectives Operate cross-functionally across teams and business areas to coordinate updates for Epics and Features, ensuring smooth transitions and alignment during refinement processes Lead teams in complex requirements elicitation efforts using advanced facilitation and modeling techniques Ensure comprehensive requirements documentation and traceability that aligns with strategic objectives according to corporate standards Provide input on project status reports related to requirements, assist in resolving escalated items, and escalate issues or risks to the Program/Project Manager and Product Owner as needed Provide input on change requests, incremental funding, and strategic estimates, including Business Analyst estimates Oversee Epic and Features throughout their lifecycle for multiple high-impact projects and programs, managing resource allocation, risk assessment, and stakeholder communication to ensure successful outcomes and alignment with business strategy Champion initiatives for process improvement and innovation, utilizing industry best practices to enhance operational efficiency, reduce costs, and improve service delivery Provide leadership and mentorship to business analysts and project teams, fostering a culture of knowledge sharing, professional growth, and continuous improvement Collaborate with executive leadership, IT, product management, and other departments to ensure cohesive strategy execution and successful implementation of requirements. Take action on insights from dashboard and metric analysis to correct data and optimize business processes Define, track, and analyze key performance indicators (KPIs) to assess the status and throughput of requirements, providing actionable insights for continuous improvement Prepare and present detailed reports, including strategic findings, recommendations, and progress updates, to executive leadership and key stakeholders as requested Perform any other job duties as requested Education and Experience: Bachelor's degree or equivalent years of relevant experience is required Master's degree is preferred A minimum of seven (7) years of experience in requirements management is required Experience working with Azure DevOps, Service Now, JIRA, Modern Requirements, or equivalent suite of business requirements management tools and software development processes, including hybrid/agile, is required Competencies, Knowledge and Skills: Proficient in Microsoft Office tools, including Word, Excel, and Visio Demonstrated a mastery of skill and understanding of business analysis principles, process, and applications/elicitation tools used for managing requirements Exceptional analytical thinking and problem-solving skills Extensive knowledge of IT development cycle, and Agile Framework, and other development frameworks Deep understanding of a project lifecycle, including processes, techniques and tools Strong interpersonal skills and proven ability to establish effective working relationships with stakeholders at all levels Exceptional written and verbal communication skills Ability to work independently and within a team environment Effective listening and critical thinking skills Ability to coordinate and lead cross-functional teams Effective decision making and problem-solving skills with close attention to detail Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency Ability to multi-task and remain flexible during organizational and/or business changes Customer service oriented Licensure and Certification: IIBA, Six Sigma, or Agile Certifications preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $94,100.00 - $164,800.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-GB1
    $94.1k-164.8k yearly 6d ago
  • Claims Management Analyst III

    Caresource 4.9company rating

    Dayton, OH jobs

    The Claims Management Analyst III is responsible for leading eBusiness initiatives and coordination of activities across multiple functional areas. Essential Functions: Manage the EDI (Electronic Data Interchange) trading partners and network of clearinghouses to ensure accurate and timely exchange of information Works closely with Vendor Management to improve and maintain the trading partner agreement with the trading partners. This includes cost reduction and adding services Develop and maintain a partnership with the trading partner account representatives Manage trading partner performance, establish and monitor service level agreements, regulatory requirements, and contractual metrics Provide Subject Matter Expertise (SME) to all departments regarding eBusiness specific EDI transactions Build, sustain and leverage relationships to constantly allow for continuous improvement of the EDI business process Responsible for eBusiness EDI requirements that support regulatory, compliance, and business needs And eBusiness EDI regulatory reporting Provide critical reporting and analysis of functional performance, and make recommendations for enhancements, cost savings initiatives and process improvements Review and analyze the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or further leverage these functions Participate in the process of estimating initiative budgets as well as developing business cases and tracking the benefits Understand business strategy, define and lead eBusiness initiatives such as working with IT and others internal departments to automate functions Understand the process to receive claims, claims rejections and denial processes, claims payment methodologies, adjudication processing, and Encounters to enable synergies among It and business groups Contribute to and/or develop user stories or provide user story guidance for sprint planning Develop, document and perform testing and validation as needed Develop and maintain an in-depth knowledge of the company's business and regulatory environments Identify issues, risks, and mitigation opportunities Perform any other job duties as requested Education and Experience: Bachelor's degree or equivalent years of relevant work experience is required Minimum of five (5) years of health care operations experience in insurance, managed care, or related industry is required Competencies, Knowledge and Skills: Advanced knowledge of healthcare EDI files (837, 277CA, 999, 270/271, 276/277, etc.) Advanced computer skills Demonstrated exceptional communication (verbal and written) and high level of professionalism Data analysis and trending skills to include query writing Knowledge of Claims IT processes and systems Working knowledge of managed care and health claims processing Ability to effectively interact with all levels of management within the organization and across multiple organizational layers Demonstrates excellent analysis, collaboration skills, facilitation and presentation skills Strong interpersonal, leadership and relationship building skills Decision making and problem solving skills Ability to work independently and within a team environment Time management skills; capable of multi-tasking and prioritizing work Attention to detail Effective decision making / problem solving skills Critical thinking and listening skills Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-RW1
    $72.2k-115.5k yearly 5d ago
  • Entry Level Healthcare IT Analyst

    Optimum Healthcare It 4.3company rating

    Cleveland, OH jobs

    Start Your Career in Healthcare Information Technology Today! Getting your first job can be difficult when employers want experience, but to gain that experience, you need your first job. We bridge the gap between your education and professional career by helping you gain the experience and training you need within the Healthcare Information Technology Industry. Optimum Healthcare IT is looking for recent college graduates with an interest in moving into the Healthcare IT Industry. Our Optimum CareerPath training program will equip you with the tools needed for your success as a Healthcare IT Analyst. Healthcare IT Analyst Job Responsibilities: · The Healthcare IT Analyst will have primary responsibility for the design, build/configuration, testing, validation, documentation, and ongoing support for the Healthcare applications. · This position will implement, administer, and support assigned systems under the guidance of senior members of the team. · The position will have a good understanding of healthcare organizations, ancillary systems, and health system operations. · Analyze and document user requirements, procedures, and problems to automate or improve existing systems. Review system capabilities, workflow, and scheduling limitations. · Document workflows, configure and/or build activities, change management adherence, end-user notifications, training information, and status reporting in the appropriate system. · Develop, document, and revise system design procedures, test procedures, and quality standards. · Expand or modify the system to serve new purposes or improve workflows. · Review and analyze the system and performance indicators to locate problems and correct errors. Escalate problems and issues to the appropriate staff to ensure timely resolution. · Coordinate projects, schedule, and facilitate meetings as necessary to complete assignments. · Technical and functional analyst support of systems that may include Electronic Health Records platforms (Epic, Cerner), IT Project Management, ERP Systems (Workday, Oracle, PeopleSoft, UKG), ITSM applications (ServiceNow), data and analytics applications (Tableau, PowerBI), cloud deployments (GCP, Azure, AWS), and other digital platforms and services. Requirements: · Bachelor's Degree · US work authorization (This position is not open to any H1B /F1/ H-4 EAD OPT/STEM degrees) · Excellent communication skills (verbal and written) · Ability to exercise tact and good interpersonal skills · Superb analytical and time management skills required · Self-starter, self-motivated, high level of initiative · Result-focused, ability to solve complex problems and resolve conflicts in a timely manner · Internships or research project work are highly desired in a healthcare setting · Understanding of how data works and looks, coming from different formats, is preferred · Ability to travel during the training program if necessary
    $65k-88k yearly est. 4d ago
  • Actuarial Analyst II (Medicare)

    Caresource 4.9company rating

    Dayton, OH jobs

    The Actuarial Analyst II (Medicare) is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionable recommendations to management relative to all analysis Calculates profitability reports on appropriate business segments Leads regular and ad-hoc analysis identifying opportunities to improve efficiency and affordability Leads regular and ad-hoc analysis/studies to evaluate assumptions used in other processes Participates in cross functional teams to address key issues facing the organization Prepares monthly calculation of the company's IBNR reserves Evaluates government reimbursement process to determine areas of risk and opportunity Participates in initiatives to improve operating results Initiates key analysis to improve overall MLR results Performs other duties as assigned Preferred Experience: Experience with Medicare Advantage bids Experience with data compilation to support bids Experience with desk review audit responses Experience developing and using pricing models related to Medicare Advantage Experience with Medicare Risk Adjustment Experience with building large Excel models Proficient with relational databases and coding languages (SQL) Experience with DSNP and/or FIDE/HIDE-SNPs Education and Experience: Bachelor's degree in actuarial science, mathematics, economics or a related field is required Minimum of one (1) year of decision support or financial analysis experience is preferred Intermediate database (SAS or Access) experience is required Managed Care or healthcare experience is preferred Competencies, Knowledge and Skills: Intermediate interpersonal/verbal communication skills and a high level of professionalism Intermediate written communication skills Intermediate ability to work independently and within a team environment Intermediate ability to work in fast paced environment with changing priorities Intermediate ability to remain calm under pressure Intermediate proficiency level with Microsoft Excel Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook Intermediate ability to effectively present information and respond to questions from peers and management Intermediate ability to analyze and interpret financial data in order to coordinate the preparation of financial records Intermediate knowledge of SQL, SAS, R, or other data manipulation software Effective problem-solving skills with attention to detail Effective listening and critical thinking skills Licensure and Certification: A combination of years of industry experience and exams passed under the Society of Actuaries Exam Syllabus (excluding exam SRM via transition credit) equaling 5 or more is required Active pursuit of an actuarial designation (ASA) is required Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-RW1
    $72.2k-115.5k yearly 5d ago
  • Actuarial Analyst I - (Medicare)

    Caresource 4.9company rating

    Dayton, OH jobs

    The Actuarial Analyst I (Medicare) is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionable recommendations to management relative to all analysis Calculates profitability reports on appropriate business segments Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability Performs regular and ad-hoc analysis/studies to evaluate assumptions used in other processes Participates in cross functional teams to address key issues facing the organization Prepares monthly calculation of the company's IBNR reserves Evaluates government reimbursement process to determine areas of risk and opportunity Participates in initiatives to improve operating results Initiates key analysis to improve overall MLR results Performs other duties as assigned Education and Experience: Bachelor's degree in actuarial science, mathematics, economics or a related field is required Strong database (SAS or Access) experience is preferred Managed Care or healthcare experience is preferred Competencies, Knowledge and Skills: Intermediate interpersonal/verbal communication skills and a high level of professionalism Intermediate written communication skills Intermediate ability to work independently and within a team environment Intermediate ability to work in fast paced environment with changing priorities Intermediate ability to remain calm under pressure Intermediate proficiency level with Microsoft Excel Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook Basic ability to effectively present information and respond to questions from peers and management Basic ability to analyze and interpret financial data in order to coordinate the preparation of financial records Basic knowledge of SQL, SAS, R, or other data manipulation software Effective problem-solving skills with attention to detail Effective listening and critical thinking skills Licensure and Certification: A minimum of one exam passed under the Society of Actuaries Exam Syllabus is required; exam SRM via transition credit does not meet this requirement Active pursuit of an actuarial designation (ASA) is required Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-RW1
    $62.7k-100.4k yearly 5d ago
  • Systems Analyst III - SAP Basis experience

    Caresource 4.9company rating

    Dayton, OH jobs

    We are seeking a skilled SAP Basis Systems Analyst III to join our dynamic team at CareSource. In this role, you will be responsible for implementing and maintaining multiple SAP instances, ensuring the stability and performance of our SAP environment, which includes Sandbox, Development, QA, Production, and N+1 systems. You will play a critical role in supporting our SAP HANA databases and administering various SAP applications. Key Responsibilities: Implement and maintain multiple SAP instances, including Sandbox, Development, QA, Production, and N+1 environments. Provide SAP HANA database support using HANA Studio and HANA Cockpit. Administer SAP applications, including planning and performing application upgrades, support packs, add-ons, migrations, performance management, and problem resolution. Execute system refreshes and upgrades for ABAP and S/4HANA systems. Perform SAP client administration tasks, such as creating, copying, deleting, and exporting/importing clients as needed. Configure Solution Manager for managed system setup, technical monitoring, and alerting. Review EarlyWatch reports and address any reported issues. Apply SAP HotNews, SAP Security Notes, and kernel upgrades across the SAP landscape. Monitor all SAP systems, including work processes, user activity, system logs, short dumps, locks, developer traces, CPU, memory, and disk space. Meet defined SLAs by providing hands-on support and technical leadership for incidents. Design and implement optimal SAP configurations to maximize system performance and availability. Maintain SAP performance through planning and executing tuning strategies. Manage SAP archiving processes using OpenText to ensure efficient data retention, compliance, and retrieval while optimizing system performance and minimizing data storage costs. Administer SAP Business Technology Platform (BTP) to develop, integrate, and extend SAP applications, enabling seamless connectivity and enhancing business processes through innovative cloud-based solutions. Develop and maintain system documentation for all SAP instances and interfaces. Provide status reports for projects to management. Manage projects and ensure task deadlines are met. Qualifications: Proficient in the administration of SAP NetWeaver ABAP and JAVA stacks. Experience in the administration of SAP areas including S/4HANA, BW/4HANA, ECC, BW, BPC, GRC, SLT, Solution Manager, ADS, Ariba, BTP, OpenText, EPM, and Analysis for Office. Demonstrated expertise in SAP BASIS/HANA administration tasks, including installations, upgrades, problem resolution, patching, note application, performance tuning, transport management, and sizing. Experience with MSSQL, HANA, MS Windows Server, and Linux OS. Hands-on experience with HEC environments. Experience with SAP Cloud Connector. Familiarity with ServiceNow. Strong team player with the ability to work collaboratively in a group environment. Availability for on-call rotation and after-hours support as needed. Compensation Range: $94,100.00 - $164,800.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-GB1
    $94.1k-164.8k yearly 2d ago
  • Encounters System Analyst II- Vendor

    Caresource 4.9company rating

    Dayton, OH jobs

    The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements are achieved. Essential Functions: Perform analysis of Encounter data. Understand the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements (SLAs) are achieved Support for Regulatory Data projects Responsible for reviewing Encounter rejections and providing resolution of minor to complex data issues or process changes Support for Claims Encounter Subject Matter Expertise (SME) for both CMS and State agencies and internal CareSource impacted organizations (IT, Claims, New Business, Enrollment, etc.) Build, sustain and leverage relationships with persons within his/her area of responsibility to allow for continuous improvement of the Encounter Data business process Support for testing and delivering process to business. Participate in claims data processes to ensure accuracy and compliance with CMS and state agencies Participate in the key claims data management and readiness to state and governing entities Understand the Claims Encounter Data requirements in detail to enable one to support efforts to ensure claims data submissions achieve the required SLAs through requested changes internally and externally Recognize inconsistencies and gaps to improve productivity, accuracy and data usability and streamlining procedures and policies Support Claims Encounters regulatory reporting Support for critical reporting and analysis of functional performance, and make recommendations for enhancements, cost savings initiatives and process improvements Monitor various management and oversight metrics and reports as required Support Claims Encounter initiatives such as working with IT and others internal departments to automate Claims Encounters functions; improve regulatory report development with reporting department Provide support of vendors, managing SLA's, regulatory requirements and contractual metrics Maintain positive and strategic relationships with internal and external stakeholders Contribute to and/or develop user stories or provide user story guidance for sprint planning Understanding of how claims payment methodologies, adjudication processing and State Encounter regulations interrelate to maintain compliant Encounter reconciliation processes and SLA's Perform any other job duties as requested Education and Experience: Bachelor's degree in Science/Arts or equivalent years of relevant work is required Master's Degree in Science/Arts is preferred; concentration in Healthcare Analytics or Data Science preferred Minimum of one (1) year to two (2) years of managed healthcare, claims, or managed care regulated environment experience is required Minimum of one (1) year of experience using at least two of the following tools is required: SQL, SAS, SSIS. MySQL, ORACLE, R, or PowerBI Competencies, Knowledge and Skills: Intermediate computer skills, Advanced skills in Excel Edifecs knowledge is preferred Data analysis and trending skills Demonstrated understanding of claims operations specifically related to encounters Advanced knowledge of coding and billing processes, including CPT, ICD-9, ICD-10 and HCPCS coding Knowledge of Claims IT processes/systems and analytic processes Knowledge of Agile is preferred Knowledge of Facets is preferred Experience in Documentation of business requirements Advanced working knowledge of managed care and health claims processing and reimbursement methodologies Experience with 837O files to States and/or CMS (MA EDS) preferred Experience with 835 files preferred Excellent communication skills; both written and verbal required Ability to work independently and within a team environment Time management skills; capable of multi-tasking and prioritizing work Attention to detail Effective decision making / problem solving skills Critical thinking and listening skills Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SD1
    $62.7k-100.4k yearly 3d ago
  • Ad Operations Analyst (Hybrid)

    Scripps 4.3company rating

    Washington, DC jobs

    Are you ready to be at the forefront of digital advertising innovation? We're seeking an Analyst, Ad Ops to join our dynamic team in Washington, DC, where you'll play a pivotal role in driving digital growth and delivering exceptional client experiences. This position offers the perfect blend of analytical challenge and creative strategy, supporting advertising campaigns from conception to completion while working with cutting-edge technology and industry-leading teams. WHAT YOU'LL DO: Complete accurate entry for all aspects of a digital campaign into multiple digital advertising sales systems. Assist with creating holistic advertising campaigns with the ability to manipulate and calculate pricing structures utilizing cost per thousand (CPM), cost per click (CPC). Enter and maintain accurate customer data in the order management system (OMS) or customer relationship management system (CRM). Provide consulting to sales teams with knowledge of third party ad serving solutions as well as rich media technologies, including impression and click through tracking pixels. Utilize web analytics to measure digital performance and provide client insights. Ensure that all elements of advertising campaigns are completed in an accurate and timely manner. Ensure complete and accurate revenue recognition in a variety of billing systems. Prepare reports and data insights to support strategy for customer meetings. Compare reporting with third party(s) to confirm campaign reporting is tracking and campaigns are running as contracted. Work closely with Ad Operations and/or account executives to capture customer needs for execution of digital campaigns. Collaborate with Sales team to recommend campaign modifications for optimal results. Support and adhere to digital revenue operational processes, policies, procedures and standards. Attend and contribute to Sales and Ad Operations training and planning meetings. Cultivate productive, professional relationships with clients, vendors and internal teams. Perform other duties as assigned. WHAT YOU'LL NEED: BS/BA in related discipline preferred or equivalent years of experience Generally 3+ years of experience in related field preferred WHAT YOU'LL BRING: Skilled in using order management systems Proven ability with vendor management Skilled in using web analytics tools Must be digitally savvy Excellent analytical and problem-solving skills Excellent organizational skills Able to manage several campaigns simultaneously in a deadline-oriented environment Strong communication skills Comfort interacting with all levels of the organization Adapts well to constant change Proactive mindset Resourceful Meticulous attention to detail Thinks creatively Highly collaborative Quick learner Familiarity with Digital and Broadcast advertising General knowledge of third party ad serving solutions as well as rich media technologies, including impression and click through tracking pixels Ability to coach and mentor others is a plus WHERE YOU'LL LIVE, WORK AND PLAY: Washington, DC is a city where history meets innovation, offering an unparalleled blend of career opportunities and cultural experiences. As the nation's capital, DC provides access to world-class museums, monuments, and cultural institutions, from the Smithsonian to the Kennedy Center. The city's diverse neighborhoods each offer their own unique character, from the historic charm of Georgetown to the vibrant energy of Dupont Circle and the waterfront dining of The Wharf. The region boasts excellent public transportation, making it easy to explore everything from the cherry blossoms along the Tidal Basin to the hiking trails of Rock Creek Park. DC's thriving food scene features everything from food trucks to Michelin-starred restaurants, while the nearby Potomac River and Chesapeake Bay offer water activities and scenic escapes. With professional sports teams like the Capitals and Nationals, plus easy access to the mountains of Virginia and Maryland's Eastern Shore, Washington, DC offers the perfect balance of urban sophistication and outdoor adventure. #LI-SM2 #LI-Hybrid COMPENSATION RANGE:Annual Salary: $80,000.00 - Pursuant to state and local salary transparency laws, the salary range posted is specific to candidates who will perform this work in District of Columbia. ADDITIONAL BENEFITS: A career path to grow your professional experiences Full medical, dental and vision benefits, as well as certain other health and wellness benefits Retirement savings plan with company match Other key company benefits include disability accident insurance, hospital indemnity, critical illness, life insurance, AD&D, ID protection, pet discount program, and employee assistance program. More details about timing and conditions of benefits eligibility and other plan terms and conditions will be provided upon hire. If you are a current Scripps employee, please do not apply on this site. Please access our internal career site at Worklife > My Info > View Open Positions at Scripps. SCRIPPS' COMMITMENT TO A CULTURE THAT CREATES CONNECTION: At Scripps, we are committed to a culture that reflects the audiences and communities we serve. We are intentional about creating an environment where employees, our audiences and other stakeholders feel valued and inspired to reach their full potential and create connections. To successfully deliver on this commitment, we must understand and reflect the values and perspectives those around us embody. That process begins by looking inward to build and celebrate a respectful workplace where everyone feels a sense of belonging and connection. By continuing to cultivate an environment where all employees have a fair chance to succeed, are included, valued, and seen, we will strengthen the connections that drive positive business impact and align with our core purpose. ABOUT SCRIPPS: The E.W. Scripps Company (NASDAQ: SSP) is a diversified media company focused on creating a better-informed world. As one of the nation's largest local TV broadcasters, Scripps serves communities with quality, objective local journalism and operates a portfolio of more than 60 stations in 40+ markets. Scripps reaches households across the U.S. with national news outlets Scripps News and Court TV and popular entertainment brands ION, Bounce, Defy TV, Grit, ION Mystery and Laff. Scripps is the nation's largest holder of broadcast spectrum. Scripps is the longtime steward of the Scripps National Spelling Bee. Founded in 1878, Scripps' long-time motto is: “Give light and the people will find their own way.” As an equal employment opportunity employer, The E.W. Scripps Company and its affiliates do not discriminate in its employment decisions on the basis of race, sex, sexual orientation, transgender status, gender, color, religion, age, genetic information, medical condition, disability, marital status, citizenship or national origin, and military membership or veteran status, or on any other basis which would be in violation of any applicable federal, state or local law. Furthermore, the company will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship for the company.
    $80k yearly Auto-Apply 12d ago
  • Commercial Operations Analyst

    Bioventus 4.2company rating

    Remote

    Are you ready to work for a more active world? At Bioventus, our business depends on developing our people. We invest in you and challenge you to be the best. We value our colleagues for their different perspectives and individual contributions, and our leaders listen. Our success rests on working together to achieve shared goals and rewards. Join a diverse team of global colleagues driven to help patients resume and enjoy active lives. Main Purpose of the Role The Commercial Operations Analyst will be responsible for critical cross-functional alignment and execution of sales territory alignments, onboarding, and distributor/agent contract process. Responsible for developing a strong strategic relationship with sales leaders and internal business partners through high-level collaboration and engagement, providing advanced consultative support. Key Responsibilities: * Manages the process and collaboration of distributor/agent contracts, from initiation through documentation and implementation. Coordinate with sales leaders, Legal, Comm Ops, other internal partners, to ensure contract completeness, submission of all required forms, and execution of process flow through Lexion. * Coordinates internally to ensure agent contracts and contract details are disseminated appropriately, documents are stored per procedure, and agent IDs and alignments are created in SAP. * Maintains the contract matrix, including all contractual elements, bonus and quota language, commission tier, and performs routine evaluation of agent performance. Provides updates as necessary in advance of contract expiration, initiates the renewal/termination process. * Set up system access to Portal, Lit store, Biolearn, other internal applications. * Establishes sales rep and distributor onboarding, ensuring completion of the setup process, alignments, and collaboration across sales training, commissions, and other functions for completeness. Set up system access to all internal applications. * Manage the termination process for distributors- ensure timely completion of closing out activities. * Manage the zip code master and associated alignments, and ensure territory alignments are up-to-date in SAP. Supports realignment adjustments and makes appropriate changes in SAP. * Leads initiative on year-end account alignment refresh, giving Sales Directors an opportunity to make region adjustments. Develop a template, process, and oversee the execution and implementation. * Maintains sales-related contact info, including establishing mail lists, updates to org tables, roster management. * Creates and maintains a commercial calendar to track key meetings and events, QBRs, MBRs, conferences. * Track and monitor demo and eval cases, either as self-reported from the field or via documentation. * Ensures urgency and efficiency in all process steps to expedite timeline from implementation to sales readiness, aligning process owner handoffs between steps. * Holds oneself and others accountable to conduct business in a manner compliant with Bioventus' Code of Compliance and Ethics, policies and procedures and internal controls applicable to their role. Education and Experience (Knowledge, Skills & Abilities) * B.S. or B.A. in Business Management, Marketing, Finance, or Similar Programs * 3-5 years experience In Medical Device Sales Operations or Business Analytics * Proficient in Microsoft Excel and PowerPoint * Proficient in Business Analytics Software including Microsoft PowerBI, Dynamics365 * Must have specific SAP knowledge and high level of proficiency * Project Management background a plus Are you the top talent we are looking for? Apply now! Hit the "Apply" button to send us your resume and cover letter. Bioventus is committed to fostering an inclusive and diverse community of employees with a strong sense of belonging. We believe we are bettered by all forms of diversity and take pride in working with top talent from every walk of life. In the spirit of inclusivity, qualified applicants will be considered without regard to age, ethnicity, disability, gender, veteran status, gender expression, gender identity, nationality, race, religion or sexual orientation. All individuals, regardless of personal characteristics, are encouraged to apply.
    $46k-71k yearly est. Auto-Apply 38d ago
  • Business Process Analyst - Las Vegas

    Photon Group 4.3company rating

    Remote

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

    Cleveland Clinic 4.7company rating

    Independence, OH jobs

    Join Cleveland Clinic's Independence Family Health Center and become a part of one of the most respected healthcare organizations in the world. This patient-friendly facility offers primary care, express care and a wide array of specialty services. Here, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career. At Cleveland Clinic, everyone is a caregiver, whether they serve as a member of our healthcare, customer service, administrative or analytic staff. As a Department Analyst III, your work as a caregiver starts in the office, where you will function as a primary resource regarding the collection of data and the analysis and evaluation of resources, services, programs, systems, budgets and procedures of Ambulatory Operations. Your dedication and efforts help bolster our Research and Data Departments, making you invaluable and integral to our ability to continue providing exceptional patient care across the world. A caregiver in this position works days from 8:00AM - 5:00PM. A caregiver who excels in this role will: * Analyze and evaluate operational and financial functions of administrative and operational units. * Analyze departmental resources, services, systems, budgets and programs and prepare reports based on results. * Conduct comprehensive statistical analysis and evaluation of unit services and performance. * Identify program or service strengths, weaknesses and financial impact. * Identify opportunities for service and program improvement. * Participate in or leads project teams to complete high level analysis or special reports. * Assist with the development of operational plans, procedures, and systems. * Review and evaluate current procedures and systems and develop recommendations for improvement or change. * Maintain awareness of and complies with various regulatory guidelines (JCAHO, FDA, HIPAA, OSHA, etc.). * Conduct briefings or presentations to keep others advised. Minimum qualifications for the ideal future caregiver include: * Bachelor's Degree in Health Care Administration, Business or a related field and three years statistical analysis experience OR Master's Degree and two years of experience * Excellent analytical, communication and customer service skills Preferred qualifications for the ideal future caregiver include: * Ambulatory experience preferred. * Prior data experience with Tableau highly preferred. * SQL experience preferred. * Snowflake or other data warehouse experience preferred Physical Requirements: * Ability to perform work in a stationary position for extended periods * Ability to operate a computer and other office equipment * Ability to communicate and exchange accurate information Personal Protective Equipment: * Follows standard precautions using personal protective equipment as required. Pay Range Minimum Annual Salary: $52,270.00 Maximum Annual Salary: $79,727.50 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
    $52.3k-79.7k yearly 32d ago
  • Department Analyst III - Ambulatory Operations

    Cleveland Clinic 4.7company rating

    Independence, OH jobs

    Join Cleveland Clinic's Independence Family Health Center and become a part of one of the most respected healthcare organizations in the world. This patient-friendly facility offers primary care, express care and a wide array of specialty services. Here, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career. At Cleveland Clinic, everyone is a caregiver, whether they serve as a member of our healthcare, customer service, administrative or analytic staff. As a Department Analyst III, your work as a caregiver starts in the office, where you will function as a primary resource regarding the collection of data and the analysis and evaluation of resources, services, programs, systems, budgets and procedures of Ambulatory Operations. Your dedication and efforts help bolster our Research and Data Departments, making you invaluable and integral to our ability to continue providing exceptional patient care across the world. **A caregiver in this position works days from 8:00AM - 5:00PM.** A caregiver who excels in this role will: + Analyze and evaluate operational and financial functions of administrative and operational units. + Analyze departmental resources, services, systems, budgets and programs and prepare reports based on results. + Conduct comprehensive statistical analysis and evaluation of unit services and performance. + Identify program or service strengths, weaknesses and financial impact. + Identify opportunities for service and program improvement. + Participate in or leads project teams to complete high level analysis or special reports. + Assist with the development of operational plans, procedures, and systems. + Review and evaluate current procedures and systems and develop recommendations for improvement or change. + Maintain awareness of and complies with various regulatory guidelines (JCAHO, FDA, HIPAA, OSHA, etc.). + Conduct briefings or presentations to keep others advised. Minimum qualifications for the ideal future caregiver include: + Bachelor's Degree in Health Care Administration, Business or a related field and three years statistical analysis experience OR Master's Degree and two years of experience + Excellent analytical, communication and customer service skills Preferred qualifications for the ideal future caregiver include: + Ambulatory experience preferred. + Prior data experience with Tableau highly preferred. + SQL experience preferred. + Snowflake or other data warehouse experience preferred **Physical Requirements:** + Ability to perform work in a stationary position for extended periods + Ability to operate a computer and other office equipment + Ability to communicate and exchange accurate information **Personal Protective Equipment:** + Follows standard precautions using personal protective equipment as required. **Pay Range** Minimum Annual Salary: $52,270.00 Maximum Annual Salary: $79,727.50 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.). Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
    $52.3k-79.7k yearly 60d+ ago
  • Senior Finance Systems Analyst

    Billiontoone 4.1company rating

    Remote

    Ready to redefine what's possible in molecular diagnostics? Join a team of brilliant, passionate innovators who wake up every day determined to transform healthcare. At BillionToOne, we've built something extraordinary-a culture where transparency fuels trust, collaboration drives breakthroughs, and every voice matters in our mission to make life-changing diagnostics accessible to all. We don't just aim for incremental improvements; we strive to build products that are 10x better than anything that exists today. Our people are our greatest asset: talented scientists, engineers, sales professionals, and visionaries united by an unwavering commitment to changing the standard of care in prenatal and cancer diagnostics. This is where cutting-edge science meets human compassion-every innovation you contribute helps remove fear of unknown from some of life's most critical medical moments. If you're driven by purpose, energized by innovation, and ready to help build the future of precision medicine, this is where you belong. BillionToOne is seeking a Senior Finance Systems Analyst who will play a pivotal role in driving technology solutions across our finance function. This is a hands-on manager-level role, responsible for the administration, optimization, and integration of financial systems to support scaling operations and compliance with public company standards. You'll act as the key liaison between Accounting, Billing, and IT to ensure that systems and projects are aligned with business goals and internal control requirements. Your expertise in ERP systems, audit compliance, and cross-functional collaboration will be essential in enhancing the efficiency, accuracy, and control of our financial processes. Responsibilities: Financial Systems Support & Administration Assist with the administration and day-to-day support of financial technologies, including ERP systems and related finance tools. Manage NetSuite configurations such as workflows, saved searches, roles, and user access under guidance from senior team members. Support implementation and enhancement of system features and integrations across Finance and Supply Chain. Identify opportunities to streamline processes and improve automation within finance systems. Assist with data integrity, system maintenance, and troubleshooting for finance-related applications. Support data integrations and work with IT on resolving integration-related issues. Cross-Functional Partnership Work with Accounting, HR, Billing, and IT to translate business needs into system requirements and functional updates. Assist Accounting during the monthly/quarterly close cycle by ensuring data accuracy and addressing system-related issues. Support reporting, analysis, and planning tool integrations as needed. Contribute to documentation of system requirements, test cases, and change requests. Help coordinate system updates, testing, and deployment activities for finance system initiatives. Compliance & Controls Maintain systems and processes in alignment with internal control frameworks and SOX readiness efforts. Support audit activities by preparing system documentation, ensuring accuracy of financial system data, and providing required system access evidence. Assist in maintaining IT SOX documentation related to finance systems. Qualifications: 4-5+ years of experience supporting financial systems, preferably with hands-on NetSuite administration. Experience supporting financial audits and understanding of internal controls (SOX exposure preferred). Bachelor's degree in Accounting, Information Systems, Computer Science, or a related field. Strong understanding of financial processes and reporting requirements. Demonstrated ability to support finance system enhancements and assist with system projects. Excellent analytical and problem-solving skills with strong attention to detail. Ability to manage multiple priorities and work in a fast-paced, dynamic environment. Strong communication skills and ability to work cross-functionally with both technical and non-technical teams. Experience with AI tools and automation. Benefits And Perks: Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients Open, transparent culture that includes weekly Town Hall meetings The ability to indirectly or directly change the lives of hundreds of thousands patients Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80% Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%) Supplemental fertility benefits coverage Retirement savings program including a 4% Company match Increase paid time off with increased tenure Latest and greatest hardware (laptop, lab equipment, facilities) Daily on-site lunches provided from top eateries A variety of perks on campus (state of the art gym, restaurant) Free on-site EV charging (compatible with all EVs, including Tesla) At BillionToOne, we are proud to offer a combination of a (1) base pay range (actual amount offered is based on experience and salary/equity options split that the candidate chooses), (2) generous equity options offering, (3) corporate bonus program, on top of (4) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave, etc.). For this position, we offer a total compensation package of $171,009 per year, including a base pay range of $116,161 - $137,281 per year. BillionToOne is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. For more information about how we protect your information, we encourage you to review our Privacy Policy. About BillionToOne BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Our revolutionary QCT molecular counting technology enhances disease detection resolution by over a thousandfold using cell-free DNA-a breakthrough that's already transformed the lives of over half a million patients worldwide. Our Impact: We've pioneered game-changing diagnostic solutions that are redefining industry standards. Unity Complete™ stands as the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample. In oncology, our Northstar liquid biopsy test uniquely combines treatment selection with real-time monitoring, giving oncologists unprecedented precision in cancer care. Our Growth: From $0 to $125 million in Annual Recurring Revenue in just four years. We've raised close to $400 million in funding, including a $130 million Series D round in June 2024, achieving a valuation of over $1 billion. This backing comes from world-class investors including Hummingbird, Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest. Our Recognition: Forbes recently named us one of America's Best Startup Employers for 2025, and we were awarded Great Place to Work certification in 2024-with an incredible 100% of our people reporting they are willing to give extra to get the job done. These honors recognize not just our innovation but the exceptional culture we've cultivated-one that remains authentically collaborative and transparent even as we've scaled. Our Future: Headquartered in Menlo Park with facilities in Union City, California, we're continuing to push the boundaries of what's possible in molecular diagnostics. Recent clinical outcomes data for Unity Fetal Risk Screen and new advances in cancer diagnostics prove we're just getting started. At BillionToOne, you'll join a diverse team of passionate innovators who believe that the best science happens when brilliant minds collaborate openly, think boldly, and never lose sight of the patients whose lives depend on our work. Ready to help us change the world, one diagnosis at a time? Learn more at ********************
    $116.2k-137.3k yearly Auto-Apply 7d ago
  • Practice Analyst (Hybrid in Columbus, OH)

    Radiology Partners 4.3company rating

    Columbus, OH jobs

    The Practice Analyst is responsible for analyzing operational data, supporting process improvements, and assisting in the development and implementation of strategic initiatives within the practice. The individual will work closely with leadership on the team, helping them analyze operational data, supporting process improvements, and assisting in the development and implementation of strategic initiatives within the practice. This role will be a key contributor to our daily operations, Radiologist retention, client satisfaction and Practice objectives by providing workflow solutions and proactive recommendations to Practice leadership. Candidates must be local to the Columbus, OH area. Who We Are and WHat we DO Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, our mission is to transform radiology by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. WHy Radiology Partners: * Competitive Benefits package - Eligibility starts the month after hire, with tiered options to choose from. * Compensation Reviews, Career Growth Opportunities * Flexible Remote Schedules * Generous PTO Plans and Paid Holidays * Great Place to Work Certified POSITION DUTIES AND RESPONSIBILITIES * Analyze operational metrics, workflow efficiencies, and radiologist productivity to identify areas for improvement. * Monitor and track turnaround times (TAT), case volumes, and quality assurance (QA) metrics. * Collaborate with IT teams to optimize PACS/RIS and other radiology-related software systems. * Prepare reports and presentations for leadership on key performance indicators and practice trends. * Support scheduling optimization efforts, including staffing analysis and workload distribution. * Assist with credentialing, compliance, and regulatory reporting requirements. * Provide data-driven insights to enhance radiologist engagement and workflow efficiencies. * Support provider payroll processes, ensuring accuracy in compensation and compliance with contract terms. * Support practice leadership with strategic initiatives, special projects, and business development efforts. * Assist in the management of clinical quality management programs, including OPPE / FPPE reporting and radiologist CME for ongoing certification and site accreditation * Assist in the management of team meetings, inclusive of but not limited to, preparation of meeting agenda, meeting minutes, and follow up team newsletter * Facilitate radiologist support for escalated studies and worklists * Assist with licensing and credentialing efforts as required REQUIRED QUALIFICATIONS * 2+ years of experience in healthcare operations, data analysis, or practice management DESIRED EDUCATION/EXPERIENCE * Associate's degree in healthcare administration, business, data analytics, or a related field. Bachelor's degree preferred * 1-2 years of experience in similar or relevant role, a radiology management, private practice background is preferred. * 2+ years radiology experience preferred KNOWLEDGE, SKILLS AND ABILITIES * Strong analytical and problem-solving skills with the ability to interpret complex data sets. * Proficiency in Microsoft Excel, PowerPoint, and data visualization tools. * Experience with healthcare IT systems such as PACS, RIS, and Qgenda is a plus. * Excellent written and verbal communication skills. * Ability to work independently and collaboratively in a fast-paced environment. * Ability to innovate in a fast-growing work environment and comfort dealing with ambiguity * Highly organized, detail oriented, with capacity to track information and conversations across a variety of mechanisms (email, Teams, SharePoint, etc.) * Creative problem-solving skills with an ability to overcome obstacles * Quick learner who is not in need of step-by-step instructions * Highly motivated self-starter who is an excellent team player * Prior experience in healthcare and/or radiology is a plus Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History. Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please email ********************** to notify our team.
    $50k-69k yearly est. 12d ago
  • Systems Analyst III - Finance

    Cleveland Clinic 4.7company rating

    Remote

    At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleSystems Analyst III - FinanceLocationClevelandFacilityRemote LocationDepartmentCorporate Accounting-FinanceJob CodeT31033ShiftDaysSchedule8:00am-5:00pmJob SummaryJob Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. As a Systems Analyst III, you will support Oracle ERP, EPM and FDI systems, as well as accounts payable, tax and local finance users, to maintain and enhance their systems to meet new business requirements and reporting needs. In this role, you will identify and implement solutions,and assist with feasibility analysis, estimation, planning, design, development, quality assurance evaluation and modification of automated systems. Utilizing your experience, you will help propel the department forward and support goal completion, playing a critical role in supporting the general ledger team and local finance users. A caregiver in this role works remotely from 8:00 a.m. -- 5:00 p.m. and is required to provide off-hours support. Candidates must reside in Ohio, Florida, or Nevada to be considered for this role. A caregiver who excels in this role will: Participate in feasibility analysis, estimating, planning, designing, developing, prototyping, implementing, quality assurance evaluation and modification of automated systems. Define training requirements and assist with automated systems training. Recommend solutions to enhance system functionality. Support and design department project assignments and small system implementation. Provide input to solution development efforts. Maintain schedules. Track information system resources for assigned projects. Report on project timelines and document performance. Develop work products, documentation of operational and business objectives, best technology capabilities and task level resource requirements. Maintain project task plans, documentation and communications. Minimum qualifications for the ideal future caregiver include: Associate's degree in Information Technology/Computer Science, Health Sciences, Healthcare Admin or related field and five years of experience in information technology dealing with applications development and support, or end user training, or equivalent experience in an operational or financial role utilizing the systems or data generated by the systems supported by this position OR High School Diploma / GED or equivalent and seven years of experience OR Bachelor's degree and three years of experience Strong analytical, critical thinking and communication skills For Information Technology Division caregivers, ITIL Foundations certification is required within 6 months of position start date Preferred qualifications for the ideal future caregiver include: Bachelor's degree in Information Technology, Information Systems, Accounting, Finance, Healthcare Administration, or a closely related field 5+ years of hands-on experience supporting Oracle Fusion ERP Financials in a complex, highly regulated enterprise environment Direct experience supporting Oracle Tax and Accounts Payable modules, including configuration support, issue resolution, period-close activities, and collaboration with Finance stakeholders Experience supporting financial systems within a large healthcare, academic medical center, or similarly regulated organization Demonstrated experience supporting post-go-live operations, including system stabilization, enhancements, user support, and ongoing optimization Experience working within formal IT governance, change management, and release management frameworks Strong ability to partner cross-functionally with Finance, IT, external vendors, and auditors to support compliance-driven financial processes Relevant professional or technical certifications (e.g., Microsoft, CompTIA, Oracle, or equivalent) Physical Requirements: High degree of dexterity to produce materials on a computer. Requires normal or corrected vision, hearing and speech. Mobility sufficient to attend meetings. Ability to lift up to 25 pounds. The position must be available after hours for support by pager and computer dial-in. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
    $66k-89k yearly est. Auto-Apply 8d ago
  • Technical Systems Analyst II - Hybrid (Must be FL Resident)

    Sarasota Memorial Health Care System 4.5company rating

    Sarasota, FL jobs

    Department Clinical and Business Systems In addition to Technical Systems Analyst responsibilities, this position is responsible for oversight and management of small and medium sized projects and works closely with the senior Technical Analyst(s), ERP & Business Systems Team Lead and Manager to provide input and analysis for system selection, process improvement with recommendations for new technology and functionality implementation and champions adoption. Responsible for system and process design, configuration, development, and unit testing of medium complexity reports, interfaces, and system logic/pages/notifications/workflow/analytics/queries. Responsible for system documentation, testing planning and oversight of user testing, getting business approval, and gathering required documentation for change management. Works collaboratively with IS, ERP, and Business partner resources to ensure security, stability, regulatory compliance of assigned system(s) and optimal user experience. Hybrid position - Must be FL resident and able to work on-site daily as needed. * Looking for someone with report writing experience, SQL knowledge preferred. * Epic certified preferred. Required Qualifications * Require a bachelor's degree with a major in Computer Science and/or Information Systems. Relevant work experience can substitute on a year-for-year basis for the required degree. * Require minimum of three (3) years' experience in a multi-entity health care system, or large hospital, or managed care organization, or IT management consulting organization. - Require minimum of five (5) years of hands-on systems development, implementation, analysis, design, configuration, testing, and integration experience with applicable enterprise-wide application systems and pertinent programming languages/Graphical User Interface. - Require relational database understanding, and experience with data manipulation and conceptual knowledge of networks, servers and databases. Preferred Qualifications * Prefer demonstrated ability to provide excellent customer-focused and solution-oriented service. * Prefer demonstrated ability to document issue resolution, system functionality, test plans, test cases and requirements. * Prefer demonstrated professional (written and verbal) communication and presentation skills. * Prefer demonstrated analytical, collaborative, and leadership skills with innovative resolution to problems. * Prefer demonstrated experience with managing small and mid-size projects. Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************
    $58k-69k yearly est. 28d ago
  • Systems Analyst III - Finance

    Cleveland Clinic 4.7company rating

    Cleveland, OH jobs

    Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. As a Systems Analyst III, you will support Oracle ERP, EPM and FDI systems, as well as accounts payable, tax and local finance users, to maintain and enhance their systems to meet new business requirements and reporting needs. In this role, you will identify and implement solutions,and assist with feasibility analysis, estimation, planning, design, development, quality assurance evaluation and modification of automated systems. Utilizing your experience, you will help propel the department forward and support goal completion, playing a critical role in supporting the general ledger team and local finance users. A caregiver in this role works remotely from 8:00 a.m. -- 5:00 p.m. and is required to provide off-hours support. Candidates must reside in Ohio, Florida, or Nevada to be considered for this role. A caregiver who excels in this role will: * Participate in feasibility analysis, estimating, planning, designing, developing, prototyping, implementing, quality assurance evaluation and modification of automated systems. * Define training requirements and assist with automated systems training. * Recommend solutions to enhance system functionality. * Support and design department project assignments and small system implementation. * Provide input to solution development efforts. * Maintain schedules. * Track information system resources for assigned projects. * Report on project timelines and document performance. * Develop work products, documentation of operational and business objectives, best technology capabilities and task level resource requirements. * Maintain project task plans, documentation and communications. Minimum qualifications for the ideal future caregiver include: * Associate's degree in Information Technology/Computer Science, Health Sciences, Healthcare Admin or related field and five years of experience in information technology dealing with applications development and support, or end user training, or equivalent experience in an operational or financial role utilizing the systems or data generated by the systems supported by this position * OR High School Diploma / GED or equivalent and seven years of experience * OR Bachelor's degree and three years of experience * Strong analytical, critical thinking and communication skills * For Information Technology Division caregivers, ITIL Foundations certification is required within 6 months of position start date Preferred qualifications for the ideal future caregiver include: * Bachelor's degree in Information Technology, Information Systems, Accounting, Finance, Healthcare Administration, or a closely related field * 5+ years of hands-on experience supporting Oracle Fusion ERP Financials in a complex, highly regulated enterprise environment * Direct experience supporting Oracle Tax and Accounts Payable modules, including configuration support, issue resolution, period-close activities, and collaboration with Finance stakeholders * Experience supporting financial systems within a large healthcare, academic medical center, or similarly regulated organization * Demonstrated experience supporting post-go-live operations, including system stabilization, enhancements, user support, and ongoing optimization * Experience working within formal IT governance, change management, and release management frameworks * Strong ability to partner cross-functionally with Finance, IT, external vendors, and auditors to support compliance-driven financial processes * Relevant professional or technical certifications (e.g., Microsoft, CompTIA, Oracle, or equivalent) Physical Requirements: * High degree of dexterity to produce materials on a computer. * Requires normal or corrected vision, hearing and speech. * Mobility sufficient to attend meetings. * Ability to lift up to 25 pounds. * The position must be available after hours for support by pager and computer dial-in. Personal Protective Equipment: * Follows standard precautions using personal protective equipment as required. Pay Range Minimum Annual Salary: $69,600.00 Maximum Annual Salary: $106,132.50 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
    $69.6k-106.1k yearly 7d ago
  • IT Systems Analyst - Epic Hospital Billing

    Uc Health 4.6company rating

    Cincinnati, OH jobs

    UC Health is hiring a Full Time IT Systems Analyst - Epic Hospital Billing The analyst is responsible for designing, implementing and supporting designated software applications in accordance with departmental standards and procedures. Works with users to define system functionality, information flow, reports and data requirements. Develops specifications and documents operational procedures, tests software, and coordinates software release procedures. About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. Associate degree in information systems or relevant field required** Two or more years equivalent experience minimum required ** 2 years equivalent experience can substitute for an Associate degree plus 2 years work experience. Person accepting this position will be required to obtain and maintain an Epic Module Certification as required by the position. Additionally, this position requires the individual to take on call responsibilities. Certified in Epic Resolute Hospital Billing Administration and/or Epic Resolute Hospital Billing Claim and Remittance Administration Required. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. System Development and Support: Facilitates effective system design and definition for existing and new system functionality. Demonstrates detail knowledge of the application data and database. Acts as a resource/subject matter expert for the THA Departments. Facilitates complex system upgrades. Assists in the evaluation for system hardware and software products. Documents system request using the Service Request and Analysis Checklist formats. Develops and tests complex testing scenarios. Develops accurate complex Functional Specifications. Develops accurate complex Technical Specifications. Follows change management procedures developed by The Health Alliance. Audits application processes or personnel to ensure highest quality outcomes. Provides Production support on specified applications. Maintains an ability to develop adhoc reports independently. Develops quality complex system code for supported applications. Maintains assigned system resource files. Acts as a mentor to less experienced staff. Project Support: Serves as a Project Manager for complex projects. Serves as a Test Coordinator for complex projects. Maintains ability to create and update project financial tracking. Maintains an ability to create complex project work plans. Maintains an ability to create complex project charters. Determines schedules and skill sets of team for projects. Works with departmental sponsorship to resolve project issues and risk. Determines and manages workload priorities. Facilitates activities across IS&T Departmental Teams. Ensures that project plans are followed and updated. Provides accurate and timely individual and project status reports. Documents and ensures timely resolution of project issues. Facilitates complex system upgrades. Is a resource to other projects. System Definition: Defines and designs system tables, parameters and set up that optimizes application functionality. Effectively interacts with vendors and end users to evaluate and implement products. Provides information and designs for testing applications and contingency plans. Provides timeline for all system enhancements that do not warrant project charters and work plans. Develops accurate application functional and technical specifications. Customer Relationship: Facilitates coordination of end user meetings. Develops consensus within user groups. Encourages and displays actions that result in high client satisfaction. Provides effective written and verbal communication to end users. Provides consults to end users. Coordination: Assesses and escalates user request and issues. Coordinates vendor and consultant activities independently. Completes and Monitors system design for technical team. Facilitates complex system upgrades. Works with programming teams on development system programs. Provides consults to IT Staff. Other duties as assigned: Assists in the development of departmental policies and procedures.
    $58k-70k yearly est. Auto-Apply 31d ago
  • IT Systems Analyst - Epic Hospital Billing

    Uc Health 4.6company rating

    Cincinnati, OH jobs

    UC Health is hiring a Full Time IT Systems Analyst - Epic Hospital Billing The analyst is responsible for designing, implementing and supporting designated software applications in accordance with departmental standards and procedures. Works with users to define system functionality, information flow, reports and data requirements. Develops specifications and documents operational procedures, tests software, and coordinates software release procedures. About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. System Development and Support: * Facilitates effective system design and definition for existing and new system functionality. * Demonstrates detail knowledge of the application data and database. * Acts as a resource/subject matter expert for the THA Departments. * Facilitates complex system upgrades. * Assists in the evaluation for system hardware and software products. * Documents system request using the Service Request and Analysis Checklist formats. * Develops and tests complex testing scenarios. * Develops accurate complex Functional Specifications. * Develops accurate complex Technical Specifications. * Follows change management procedures developed by The Health Alliance. * Audits application processes or personnel to ensure highest quality outcomes. * Provides Production support on specified applications. * Maintains an ability to develop adhoc reports independently. * Develops quality complex system code for supported applications. * Maintains assigned system resource files. * Acts as a mentor to less experienced staff. Project Support: * Serves as a Project Manager for complex projects. * Serves as a Test Coordinator for complex projects. * Maintains ability to create and update project financial tracking. * Maintains an ability to create complex project work plans. * Maintains an ability to create complex project charters. * Determines schedules and skill sets of team for projects. * Works with departmental sponsorship to resolve project issues and risk. * Determines and manages workload priorities. * Facilitates activities across IS&T Departmental Teams. * Ensures that project plans are followed and updated. * Provides accurate and timely individual and project status reports. * Documents and ensures timely resolution of project issues. * Facilitates complex system upgrades. * Is a resource to other projects. System Definition: * Defines and designs system tables, parameters and set up that optimizes application functionality. * Effectively interacts with vendors and end users to evaluate and implement products. * Provides information and designs for testing applications and contingency plans. * Provides timeline for all system enhancements that do not warrant project charters and work plans. * Develops accurate application functional and technical specifications. Customer Relationship: * Facilitates coordination of end user meetings. * Develops consensus within user groups. * Encourages and displays actions that result in high client satisfaction. * Provides effective written and verbal communication to end users. * Provides consults to end users. Coordination: * Assesses and escalates user request and issues. * Coordinates vendor and consultant activities independently. * Completes and Monitors system design for technical team. * Facilitates complex system upgrades. * Works with programming teams on development system programs. * Provides consults to IT Staff. Other duties as assigned: * Assists in the development of departmental policies and procedures. * Associate degree in information systems or relevant field required * Two or more years equivalent experience minimum required * 2 years equivalent experience can substitute for an Associate degree plus 2 years work experience. * Person accepting this position will be required to obtain and maintain an Epic Module Certification as required by the position. Additionally, this position requires the individual to take on call responsibilities. * Certified in Epic Resolute Hospital Billing Administration and/or Epic Resolute Hospital Billing Claim and Remittance Administration Required. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer.
    $58k-70k yearly est. Auto-Apply 28d ago

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