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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Assist in training and perform duties as the Lead Project Manager.<ul> <li>Manage the full project life cycle, including review of various sources to assess requirements, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure</li> <li>Utilize corporate and industry standard project management tools and techniques to effectively manage projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures</li> <li>Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans</li> <li>Provide leadership and effectively communicate project status to all stakeholders and external agencies</li> <li>Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks</li> <li>Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives</li> <li>Provide functional and technical knowledge across multiple business and technical areas.</li> <li>Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation.</li> </ul>Education/Experience:<ul> <li>Bachelor’s degree in related field or equivalent experience.</li> <li>7+ years of project management experience with departmental specific projects.</li> <li>Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.</li> <li>Previous implementation experience strongly preferred.</li> <li>Configuration experience strongly preferred</li> <li>Risk management experience strongly preferred</li> <li>Previous experience with Change Management strongly preferred.</li> <li>Experience with estimating and capacity tracking strongly preferred.</li> <li>Experience with cost management preferred</li> <li>Proficient with MS-Office applications. Healthcare experience; managed care experience preferred.</li> </ul> License/Certification: PMP certification preferred.Pay Range: $86,000.00 - $154,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Oklahoma Complete Health

Duals Project Manager IV

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: The Manager of Clinical Pharmacy Operations-Medicare Part D is responsible for developing, implementing and administering clinical pharmacy tools and programs to support corporate and regional drug utilization and financial goals.<ul> <li>Oversees the daily Medicare Part D clinical pharmacy operations including, but not limited to, monitoring of the formulary change process, overseeing the transition fill program, analyzing rejected and paid pharmacy claims, scrutinizing pharmacy claims messaging.</li> <li>Manages, coordinates, monitors and evaluates the activities of the department staff. Oversees the employment, performance evaluation, training, motivation and counseling of assigned associates.</li> <li>Ensures HNPS’ compliance with Formulary Administration and Transition Fill Program requirements in addition to all CMS requirements relative to Medicare Part D.</li> <li>Provides clinical and operations support for planning, creating, maintaining and reviewing HN Medicare Part D Formularies, Prior Authorization criteria, Step Therapy criteria and other utilization management restrictions.</li> <li>Ensure timely and accurate submission of all HPMS formulary files, PA files, ST criteria and negative formulary changes.</li> <li>Oversees the QA process for maintaining accurate HN Medicare Part D formularies in the Formulary and Benefit system.</li> <li>Acts as a clinical liaison between HNPS and CMS and the pharmacy claims processor.</li> <li>Leads efforts and participates in the development and maintenance of new programs required by CMS.</li> <li>Creates/revises policies and procedures pertaining to Health Net, Inc. Medicare Part D program</li> </ul>Education/Experience: Pharm D or equivalent experience in Pharmacy. 4 years' experience working within a pharmacy or related health care environment required. 3 years management experience required. Medicare Part D operations with emphasis on formulary management, preferred. License/Certification: Maintain current, valid and unrestricted Pharmacist License.Job Specific Details:<ul> <li>Participating in Zoom/Webex/MS Teams meetings to support routine operational responsibilities in addition to key projects involving Medicare formularies.</li> <li>Providing support to direct reports to execute on key tasks related to maintenance of business or special projects.</li> <li>Analyzing new Medicare guidance or PBM alerts to determine if any formulary support is needed.</li> <li>Collaborate with other team members to address any formulary issues or inquiries submitted to the team from other areas of the business.</li> </ul>Pay Range: $105,600.00 - $195,400.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Manager, Clinical Pharmacy Operations (Medicare Part D)

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. NOTE: Candidates for this Associate Actuary role must have an ASA designation, a bachelor's degree, and a minimum of two years of actuarial experience to be eligible.Position Purpose: This Associate Actuary position will provide cross-market cross-functional actuarial support for all Centene Medicaid markets. Conduct analysis, pricing and risk assessment to estimate financial outcomes.This Associate Actuary will extract, transform analyze, aggregate, review, interpret data to support development of Medicaid health insurance models. The position requires applying technical skills to complex analyses, strong interest in Medicaid market dynamics, good communication and interpersonal skills, and organizational talents. Experience with health care claims and pharmacy claims (i.e. understanding of costs, diagnosis/procedure codes, pharmacy terminology, etc.).In this Associate Actuary position, you will: <ul> <li>Understand different Medicaid markets and how organization capabilities interrelate across the function or segment.</li> <li>Analyze different data sources to determine value and make recommendations</li> <li>Incorporate core data management competencies including Data Governance, Data Security and Data Quality </li> <li>Perform assessments on data assets and suggest resolutions of moderate complexity</li> <li>Prepare information for actuarial and non-actuarial audiences through building reports and delivering summary of results</li> <li>Collaborate and communicate effectively with broader actuarial and healthcare analytics team, while supporting ad-hoc analytics where needed</li> <li>Maintain high quality documentation of data definitions, transformations, and processes to ensure data governance and security</li> <li>Develop and run data reports</li> <li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> <li>Develop and train junior staff</li> </ul>Education/Experience: Bachelor’s degree in related field or equivalent experience. 2+ years of actuarial experience.License/Certification: Associate of the Society of Actuaries (ASA) (or equivalent international certification)The preferred candidate will have:<ul> <li>Experience with health care claims and pharmacy claims (i.e. understanding of costs, diagnosis/procedure codes, pharmacy terminology, etc.).</li> <li>Expertise in Excel, SQL/SAS, R, Python, and model building.</li> <li>Knowledge or eagerness to learn Medicaid rules and policies.</li> <li>Ability to develop and train junior staff.</li> <li>Active pursuit of an FSA actuarial designation.</li> </ul>Candidates must possess a minimum of an ASA designation, a bachelor's degree, and at least two years of actuarial experience to be eligible for this position. *Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.*Pay Range: $86,000.00 - $154,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Associate Actuary - Medicaid

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Oversees the planning, design and implementation of system engineering projects. Provides technical direction in-line with business goals. Trains, mentors, and supports systems engineers. Installs, configures and upgrades and enhancements to software/hardware/network systems.<ul> <li>Oversees the planning, design and implementation of system engineering projects.</li> <li>Leads the enhancement of processes, procedures, and policies relating to systems functioning and performance</li> <li>Meets with management team of multiple functional areas and vendors on the planning, upgrading, testing, securing, and servicing of IT solutions</li> <li>Provides technical direction in-line with business goals.</li> <li>Develops, modifies, tests, implements, documents, and maintains systems software and hardware</li> <li>Troubleshoots and resolves server, operating system, and other infrastructure problems</li> <li>Monitors systems and networks for viruses, malfunctions, and errors</li> <li>Prepares network analytics, data reports, and operational manuals</li> <li>Performs troubleshooting and remediation, ensure successful project implementation, and perform post project end user support</li> <li>Manages project timelines, budgets, and documentation</li> <li>Trains the engineering team on new systems, protocols, and best practices</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 5 – 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills:<ul> <li>One or more of the following skills are desired.</li> <li>Experience with Cyber Security</li> <li>Experience with Other: PowerShell and Endpoint Engineering, network protocols</li> <li>Linux and Windows server vulnerability remediation</li> <li>Linux and Windows server OS patching</li> <li>Automation (Ansible or similar)</li> <li>Connections via API to systems (ServiceNow, Satellite or similar)</li> </ul> Soft Skills:<ul> <li>Intermediate - Seeks to acquire knowledge in area of specialty</li> <li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li> <li>Intermediate - Ability to work independently</li> <li>Intermediate - Demonstrated analytical skills</li> <li>Intermediate - Demonstrated project management skills</li> <li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li> <li>Intermediate - Demonstrates excellent judgment and decision making skills</li> <li>Intermediate - Ability to communicate and make recommendations to upper management</li> <li>Intermediate - Ability to drive multiple projects to successful completion</li> <li>Intermediate - Possesses technical aptitude</li> </ul> License/Certification:<ul><li>CISSP Certified Information Systems Security Professional preferred</li></ul>Pay Range: $100,900.00 - $186,800.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Lead Systems Engineer

What you can expect As a Programs Specialist at Workvivo, you’ll be at the heart of building and scaling our marketing programs. Working closely with the Marketing Programs Manager, you’ll help transform our initiatives into a must-have powerhouse that drives brand awareness and generates pipeline across every stage of the funnel. Expect to work creatively and strategically to develop strong relationships with key influencers, build a vibrant community around our brand, and lead virtual events that spark engagement. If you're passionate about making an impact, growing a brand, and delivering results, this role is for you. About the Team Workvivo is a rapidly growing company with a highly innovative and forward-thinking culture. We provide exciting opportunities for individuals to make a tangible impact and offer recognition, career growth, and ownership in a fast-moving environment. Responsibilities<ul> <li>Developing and managing relationships with key industry influencers, thought leaders, and brand advocates.</li> <li>Supporting the execution of virtual event strategies to attract and engage audiences at scale.</li> <li>Crafting collaborative campaigns with influencers to drive brand awareness and establish Workvivo as a leading brand.</li> <li>Creating and executing campaigns that connect with our audience, positioning Workvivo as the go-to brand in employee engagement and internal comms.</li> <li>Tracking, analyzing, and optimizing programs for engagement, awareness, and lead generation.</li> <li>Measuring the impact of programs to ensure every initiative drives measurable outcomes.</li> </ul>What we’re looking for<ul> <li>Demonstrate extensive knowledge and experience in marketing programs, including influencer management, community cultivation, virtual event coordination, and social media oversight in the B2B SaaS industry.</li> <li>Be capable of building impactful programs from 0 → 100 and have a creative mindset.</li> <li>Be skilled in building relationships with influencers and crafting unique experiences that engage audiences</li> <li>Be execution-focused with the ability to understand the creation and running of events, as well as post-event strategies. Collaborate closely with content &amp; creative teams and social agencies to align influencer and event strategies with broader brand goals.</li> <li>Support the build of the marketing programs function to become a high-impact engine that helps achieve strategic goals.</li> <li>Possess experience or familiarity with HubSpot to track program performance</li> </ul>Ways of Working Our structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting.Benefits As part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click <a href="https://careers.zoom.us/benefits" target="_blank">Learn</a><a href="http://careers.zoom.us/benefits" target="_blank"> </a>for more information.About Us Zoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars. We’re problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Here, you’ll work across teams to deliver impactful projects that are changing the way people communicate and enjoy opportunities to advance your career in a diverse, inclusive environment. Our Commitment​ We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines.We welcome people of different backgrounds, experiences, abilities and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.If you need assistance navigating the interview process due to a medical disability, please submit an <a href="https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&amp;d=1127274756253361" target="_blank">Accommodations Request Form</a> and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed.#LI-Remote

Zoom

Marketing Programs Specialist

Your work days are brighter here.At Workday, it all began with a conversation over breakfast. When our founders met at a sunny California diner, they came up with an idea to revolutionize the enterprise software market. And when we began to rise, one thing that really set us apart was our culture. A culture which was driven by our value of putting our people first. And ever since, the happiness, development, and contribution of every Workmate is central to who we are. Our Workmates believe a healthy employee-centric, collaborative culture is the essential mix of ingredients for success in business. That’s why we look after our people, communities and the planet while still being profitable. Feel encouraged to shine, however that manifests: you don’t need to hide who you are. You can feel the energy and the passion, it's what makes us unique. Inspired to make a brighter work day for all and transform with us to the next stage of our growth journey? Bring your brightest version of you and have a brighter work day here.At Workday, we value our candidates’ privacy and data security. Workday will never ask candidates to apply to jobs through websites that are not Workday Careers. Please be aware of sites that may ask for you to input your data in connection with a job posting that appears to be from Workday but is not.In addition, Workday will never ask candidates to pay a recruiting fee, or pay for consulting or coaching services, in order to apply for a job at Workday.About the TeamThe Workday Success Plans Team are all about our customers and their post Go-Live journey - we create programs to help them drive business value from their Workday applications. The team is responsible for delivering a variety of programs and services to our customers ranging from feature demonstrations to full feature deployments. At Workday, we help the world’s largest organizations adapt to what’s next by bringing finance, HR, and planning into a single enterprise cloud. We work hard, and we’re serious about what we do. But we like to have fun, too! We put people first, celebrate diversity, drive innovation, and do good in the communities where we live and work.About the RoleAbout the Role Would you enjoy learning new things in a fast paced environment? Do you have an appetite for variety and challenging business problems to solve? Are you a great communicator who can clearly articulate and demonstrate the value of Workday solutions to our customers? The Workday Success Plans team works directly with customers through targeted micro consulting engagements to help solve their business needs using the Workday application. Responsible for acting as a trusted Workday advisor, you will have the opportunity to assist customers with how-to questions, troubleshoot and guide customers through configuration, and provide feature demonstrations. As a Workday expert, customers will benefit from your knowledge as you share your experience, identify key considerations, and highlight standard methodologies. Our team of professionals have a broad and deep understanding of Workday, and enjoy the reward of helping customers solve problems, learn about new features, and find greater value in their Workday investment. So if you are passionate about the value technology can bring to an organization, love learning and want to work directly with some of the greatest companies on the planet, bring your energy and teamwork to the Workday Success Plans team! Primary responsibilities of this role include delivering various services to Workday Success Plans customers. To be successful, this requires: <ul> <li>Conducting research to ensure understanding of customer questions and related Workday concepts.</li> <li>Delivering small scope consulting in response to customer requests; providing configuration guidance, demonstrations, considerations, tips &amp; tricks.</li> <li>Troubleshooting product configuration to resolve or provide optimal product configuration to meet customer business requirements.</li> <li>Clearly and effectively communicating responses and value to customers.</li> <li>Creating and delivering customer presentations on how to use Workday features to achieve business goals (Accelerator Webinars).</li> <li>Providing one-on-one consulting guidance to accelerate customer feature adoption (Feature Accelerator). </li> <li>Reviewing customer tenants to identify adoption opportunities (Feature Adoption Tenant Reviews).</li> <li>Completing and maintaining product expertise and Workday Certification(s) along with familiarity with Workday roadmap.</li> <li>Keeping up to date with industry practices and the ability to engage with our customers on those topics.</li> <li>Helping drive the creation of new programs to drive customer feature adoption.</li> </ul> ​In addition to delivering Workday Success Plans services, our Workday professionals will also deliver other Customer Enablement services, such as: <ul> <li>Office Hours to conduct appointment-based consulting engagements providing guidance and product expertise to customers </li> <li>Perform configuration and business requirements reviews with a detailed deliverable calling out opportunities for optimization</li> <li>Provide one-on-one customer configuration designs</li> <li>Deployments including full deployment of Workday features</li> </ul> About YouBasic Qualifications (P3)<ul> <li>3+ years of functional experience in Payroll, Absence and Time-Tracking in Workday</li> <li>3+ years of IT implementation experience</li> <li>1+ years software consulting experience</li> </ul>Basic Qualifications (P4)<ul> <li>5+ years of functional experience in Payroll, Absence and Time-Tracking in Workday</li> <li>5+ years of IT implementation experience</li> <li>2+ years software consulting experience</li> </ul>Other Qualifications<ul> <li>Workday certification required and preferred qualification for the role</li> <li><h3>Ability to gain a thorough understanding of Workday concepts as new features are released</h3></li> <li><h3>Ability to distill complex concepts into understandable presentations for our customers</h3></li> <li><h3>Ability to multitask and work on multiple engagements and deliverables simultaneously</h3></li> <li><h3>Strong critical thinking skills so as to understand complex, technical process issues and facilitate/influence decision making</h3></li> <li><h3>Excellent verbal and written communication skills</h3></li> <li><h3>Bachelor’s degree or relevant work experience required. Advanced degree preferred </h3></li> <li>10% travel possible</li> </ul> Workday Pay Transparency StatementThe annualized base salary ranges for the primary location and any additional locations are listed below. Workday pay ranges vary based on work location. As a part of the total compensation package, this role may be eligible for the Workday Bonus Plan or a role-specific commission/bonus, as well as annual refresh stock grants. Recruiters can share more detail during the hiring process. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, skills, job duties, and business need, among other things. For more information regarding Workday’s comprehensive benefits, please <a href="http://workdaybenefits.com/us/welcome-to-workday-benefits/prospective-workmates" target="_blank">click here</a>.Primary Location: USA.GA.AtlantaPrimary Location Base Pay Range: $116,900 USD - $175,400 USDAdditional US Location(s) Base Pay Range: $111,100 USD - $197,300 USD Our Approach to Flexible Work With Flex Work, we’re combining the best of both worlds: in-person time and remote. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. We know that flexibility can take shape in many ways, so rather than a number of required days in-office each week, we simply spend at least half (50%) of our time each quarter in the office or in the field with our customers, prospects, and partners (depending on role). This means you'll have the freedom to create a flexible schedule that caters to your business, team, and personal needs, while being intentional to make the most of time spent together. Those in our remote "home office" roles also have the opportunity to come together in our offices for important moments that matter.Pursuant to applicable Fair Chance law, Workday will consider for employment qualified applicants with arrest and conviction records.Workday is an Equal Opportunity Employer including individuals with disabilities and protected veterans.Are you being referred to one of our roles? If so, ask your connection at Workday about our Employee Referral process!

Workday

SR. Payroll, Absence & Time Tracking Consultant - Workday Success Plans

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Important note: ​This Senior Actuarial Analyst position is well-suited for individuals with actuarial experience (required), SOA exam credentials (required), and who are working toward their ASA designation. Candidates need to meet the Rule of 5 (e.g., 2 years exp, 3 passed exams). If you're already an ASA or FSA, please see our Associate or Actuary postings.Position Purpose: Assist in financial analysis, pricing and risk assessment to estimate outcomes. This position will be provide cross-market cross-functional actuarial support for all Centene Medicaid markets. Extract, transform analyze, aggregate, review, interpret data to support development of Medicaid health insurance models.In this Senior Actuarial Analyst role, you will:<ul> <li>Manage Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li> <li>Assist with developing probability tables based on analysis of statistical data and other pertinent information</li> <li>Analyze and evaluate required premium rates</li> <li>Assess cash reserves and liabilities enable payment of future benefits</li> <li>Develop and run data reports</li> <li>Assist with determining the equitable basis for distributing money for insurance benefits</li> <li>Participate in merger and acquisition analysis</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> <li>Understand different Medicaid markets and how organization capabilities interrelate across the function or segment.</li> <li>Analyze different data sources to determine value and make recommendations</li> <li>Incorporate core data management competencies including Data Governance, Data Security and Data Quality</li> <li>Perform assessments on data assets</li> <li>Prepare information for actuarial and non-actuarial audiences through building reports and delivering summary of results</li> <li>Serve as a resource to others</li> <li>Maintain high quality documentation of data definitions, transformations, and processes to ensure data governance and security</li> <li>Active pursuit of actuarial designation(ASA /FSA)</li> </ul>This Senior Actuarial Analyst position requires applying technical skills to complex analyses, strong interest in Medicaid market dynamics, good communication and interpersonal skills, and organizational talents. Excel skills and SQL/SAS or other programming languages are highly preferred. Experience with health care claims and pharmacy claims (i.e. understanding of costs, diagnosis/procedure codes, pharmacy terminology, etc.) is highly preferred.Required Education/Experience: Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams. License/Certification: Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.Pay Range: $68,700.00 - $123,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Senior Actuarial Analyst

Req ID: 76260 Location: Tulsa -TUL, Dallas -DAL, Fort Worth -FTWT Areas of Interest: Commercial Banking, Health Care; Commercial Credit Analyst; Commercial Credit Underwriter; Portfolio Management Pay Transparency Salary Range: Not Available Application Deadline: 04/02/2025 BOK Financial Corporation Group includes BOKF, NA; BOK Financial Securities, Inc. and BOK Financial Private Wealth, Inc. BOKF, NA operates TransFund and Cavanal Hill Investment Management, Inc. BOKF, NA operates banking divisions: Bank of Albuquerque; Bank of Oklahoma; Bank of Texas and BOK Financial®. <h2>Bonus Type</h2> Formula Based <h2>Summary</h2> You place great value on building meaningful relationships, and you do so by leveraging your excellent interpersonal skills. You find satisfaction in helping others by offering sound advice. You make the most out of every opportunity. Bring your knowledge, skills, and abilities to us as a Portfolio Manager III. You’ll be positioned for a great career! The Portfolio Manager III partners with the Relationship Manager in supporting the growth and management of the loan portfolio. <h2>Job Description</h2> The Portfolio Manager III partners with the Relationship Manager in supporting the growth and management of the loan portfolio. This role provides ongoing asset management of a credit portfolio and conducts regularly scheduled reviews of overall asset quality, with a focus on evaluating performance against original underwriting expectations. These reviews evaluate information including borrower/sponsor historical financial statements, changes in the macroeconomic / reimbursement environment, pro forma statements, planned capex, stress testing, and overall analysis of the credit condition of the borrower/sponsor. Acting autonomously, the principal functions of the Portfolio Manager III are to (1) continuously monitor and assess the credit profiles of the customers in her/his assigned portfolio; (2) help manage customer relationships by providing exceptional service; (3) assist with routine issues such as monthly / quarterly reporting requirements, overdrafts, wires, new account openings, etc.; (4) ensure that renewals, extensions and annual reviews are completed in a timely manner; (5) seek ways to enhance customer profitability by looking for cross-sell opportunities; and 6) identifying referral opportunities from current customers and centers of influence. <h2>Team Culture</h2> We act with honor and truthfulness. Our foundation of integrity builds coworker trust, relationships, and effective interpersonal relationships. We live our company values every day. <h2>How You'll Spend Your Time</h2> · You will prepare complex financial underwriting on transactions involving critical client accounts that significantly affect profits of Lines of Business (LOB’s) across the hospital and health system lending spectrum. Typical transaction size ranges from $10 Million to $50 Million. Analysis is conducted independently, and recommendations are made to Relationship and/or Department Managers regarding final structure and pricing. · You will establish and maintain favorable relationships with current and prospective clients. Manage moderately large relationships (credits, deposits, and fee-based products/services) that require more complex analysis. Make recommendations as to whether an extension/modification is deemed appropriate, as well as negotiate the terms and conditions of the proposed extension or modification terms. Actively participates in customer meetings to further the relationship and expand business opportunities. · You will assume responsibility for recognizing/documenting all policy exceptions; interact with clients/prospects to gather key information for credit analysis, including questions relating to the preparation of financials and gaining an understanding of business models. · You will participate in joint calling on credit customers/prospects, interact with clients frequently and in a manner that fosters the development of solid relationships; assist in the development of new credit business through calling with Relationship Managers on existing or prospective clients to gather key information for proper credit analysis. · With an advanced understanding of the healthcare line of business, you will analyze clients’ needs; assess the client’s financial position and credit worthiness to ensure loans meet credit and financial requirements for lending quality and compliance as determined by the Bank’s Credit Policy. · You will review all legal documents for accuracy and potential changes, prepare amendments as needed. Independently negotiate documents with Borrower and/or Borrower’s counsel, when necessary. · You will autonomously, report on the overall portfolio, including and not limited to, assessing asset quality, stress testing, industry and market analysis, competitive analysis, asset allocation, reserves and non-performing loan analysis. · You will ensure accuracy of information, data, and documentation for all portfolio accounts. Maintain loan reporting, including: past dues, documentation and collateral exceptions, financial performance updates, asset quality reports, portfolio profitability, etc. · You will effectively present proposed credit actions in written analysis document and as necessary, verbally to Senior Credit Officers. · You will act as a mentor to Credit Specialists and more junior Portfolio Managers. · May perform other duties as assigned. <h2>Education &amp; Experience Requirements</h2> The required level of knowledge is normally acquired through completion of a Bachelor’s degree and 8+ years of Credit Analysis/Credit products underwriter experience; or 15+ years of equivalent work related experience. <ul> <li>Comprehensive accounting &amp; cash flow knowledge, with demonstrated knowledge of intermediate accounting theory including the difference between GAAP and income-tax based statements, cash and accrual accounting, consolidation and elimination principals</li> <li>Succinctly identify the drivers and/or potential threats to cash flow and structuring in order to mitigate that risk, if possible</li> <li>Solid working knowledge of rules, regulations and documentation</li> <li>Clearly communicate and convey information and ideas through a variety of channels</li> <li>Leverage a network of relationships with clients, Relationship Managers, and peers for support in achieving both the individual and organizational goals</li> <li>Strong knowledge and understanding of credit principles, lending functions, loan analysis, and application of general credit policies</li> <li>Excellent organizational skills and meticulous work habits</li> <li>Solid critical review skills focused on errors and incorrect conclusions</li> <li>Ability to complete assignments quickly and efficiently with minimal direction</li> <li>Proactive communication skills (internally with colleagues and senior personnel and externally)</li> <li>Good conflict management skills</li> <li>Possess the courage and confidence to have difficult conversations or voice differing opinions (both internally and externally)</li> <li>Ability to work efficiently under limited timeframes</li> <li>Strong knowledge of loan documentation, loan policy and regulations</li> <li>Excellent knowledge of the Loan Grading Process</li> <li>Excellent oral and written communications skills</li> <li>Advanced PC and spreadsheet software skill</li> </ul> <h2>Advertising Source</h2> BOK Financial Corporation Group is a stable and financially strong organization that provides excellent training and development to support building the long term careers of employees. With passion, skill and partnership you can make an impact on the success of the bank, customers and your own career! Apply today and take the first step towards your next career opportunity! The companies in BOK Financial Corporation Group are equal opportunity employers. We are committed to providing equal employment opportunities for training, compensation, transfer, promotion and other aspects of employment for all qualified applicants and employees without regard to sex, race, color, religion, national origin, age, disability, pregnancy status, sexual orientation, genetic information or veteran status. Please contact <a href="#">recruiting_coordinators@bokf.com</a> with any questions.

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