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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. 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. 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 produce and review Medicare forecasts.In this Senior Actuarial Analyst role, you will:<ul> <li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li> <li>Analyze and evaluate Medicare revenue and claims (both forecasted and actual)</li> <li>Assess cash revenues and liabilities to enable future payments</li> <li>Develop and run data reports</li> <li>Help ensure compliance with legislation, such as the Inflation Reduction Act</li> <li>Perform other duties as assigned, such as preparing inputs for annual Medicare bids</li> <li>Comply with all policies and standards</li> </ul>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.Preferred skills: Strong knowledge of or experience with Medicare, particularly Medicare Part D, preferably in a more technical role requiring the use of both Excel and a relevant coding language (such as SQL).Note: To be considered for this Senior Actuarial Analyst position, candidate MUST have a minimum of actuarial experience, SOA (Society of Actuaries) exams, and a Bachelor's degree. Need to meet the Rule of 5 (e.g., 2 years 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. While a Central Standard Time (CST) and Eastern Standard Time (EST) work schedule is preferred, we understand the importance of flexibility and will work to accommodate individual needs.*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

Oklahoma Complete Health

Sr Actuarial Analyst - Medicare

<h2>Summary</h2> As an Analyst on our Revenue Operations team, you will be responsible for supporting Yelp’s Sales and Customer Success groups to help make data-driven decisions, execute sales processes, distribution of accounts, and administer compensation. Success in the role is defined by the candidate's ability to deliver timely results, establish systems integrity, data accuracy, and improve technical capabilities. You will help identify and reduce systems risk while proactively communicating improvements to leadership. Our team is customer oriented, focused on helping Sales and Customer Success attain and surpass their goals. Yelp is where you can be part of an empowering mission and build a rewarding career that grows with you. Yelp is powered by a global community of collaborative people with shared values. We’re tenacious individuals who believe in our mission to connect people to great local businesses. Yelp is a remote workplace where your work makes a difference, where you are seen as a whole person, and where you will grow with our support and guidance. If you’re looking for a career (not a job) with a company that is invested in you as a whole person, from personal development, compensation, training, and more, we know just the place. We’d love to have you apply, even if you don’t feel you meet every single requirement in this posting. At Yelp, we’re looking for great people, not just those who simply check off all the boxes. This is a full-time remote role based in the United States. <h2>What you'll do:</h2> <ul> <li>Utilize data in order to develop hypotheses and recommendations for business problems and present those ideas back to leadership to drive change and gain investment.</li> <li>Support data collection, cleaning, analysis, and visualization projects for current and net new initiatives.</li> <li>Become an expert in our sales policies, our CRM (Salesforce) and compensation process in order to understand and maximize their impact on our ability to support the sales group’s goals.</li> <li>Optimize internal processes that support policy and develop workflows and methodologies to increase accuracy, efficiency and effectiveness of variable compensation administration.</li> <li>Execute ad hoc requests and inquiries within Salesforce in order to help answer sales leader questions related to variable compensation and account assignment policy and execution.</li> <li>Monitor and report on the status of assigned projects including identifying actual or potential issues and risks which may impact final results or deliverables. Provide routine updates to the business and senior levels of leadership.</li> <li>Manage and resolve cases and inquiries efficiently, adhering to established protocols and guidelines while ensuring consistent and exceptional customer service experience.</li> </ul> <h2>What it takes to succeed:</h2> <ul> <li>Minimum of 2+ years of working experience within planning, business operations, finance, sales/revenue operations, customer success management, or in management consulting roles for these functions.</li> <li>Requires an understanding of standard business practices related to Sales and/or Customer</li> <li>Success processes and systems - experience with projects improving these processes is a plus.</li> <li>Data-driven approach to problem-solving.</li> <li>Track record for being detail-oriented with a demonstrated ability to self-motivate and follow-through on projects</li> <li>Experience in leveraging technology to automate and streamline internal processes, increasing operational efficiency and scalability.</li> <li>Capable of working a queue of requests and meeting SLAs</li> <li>Effective verbal/written communication and data presentation skills, including an ability to effectively communicate with both business and technical teams</li> <li>Advanced Excel Skills (Index Match, pivot tables, etc. )</li> <li>Experience with a CRM, ideally Salesforce</li> <li>Experience with data analysis and visualization tools (SQL, Tableau, etc) </li> </ul> <h2>What you'll get:</h2> <ul> <li>Effective your first day: Full medical, vision, and dental </li> <li>15 days PTO (accrual begins on date of hire and increases with 2+ years of tenure thereafter), 12 paid holidays, plus one floating holiday</li> <li>Up to 14 weeks of parental leave</li> <li>Monthly wellness subsidy</li> <li>Work from home reimbursement</li> <li>Flexible spending account</li> <li>401(k) retirement savings plan</li> <li>Employee stock purchase plan</li> <li>Compensation range for this position is $75,000.00- $100,000.00 annually. You may also be offered a bonus and benefits.</li> </ul> <h2>Closing</h2> At Yelp, we believe that diversity is an expression of all the unique characteristics that make us human: race, age, sexual orientation, gender identity, religion, disability, and education — and those are just a few. We recognize that diverse backgrounds and perspectives strengthen our teams and our product. The foundation of our diversity efforts are closely tied to our core values, which include “Playing Well With Others” and “Authenticity.” We’re proud to be an equal opportunity employer and consider qualified applicants without regard to race, color, religion, sex, national origin, ancestry, age, genetic information, sexual orientation, gender identity, marital or family status, veteran status, medical condition or disability. Actual salary offered may vary based on multiple factors, including but not limited to, an individual's location and experience. We will consider for employment qualified candidates with arrest and conviction records, consistent with applicable law (including, for example, the San Francisco Fair Chance Ordinance for roles based in San Francisco, the Los Angeles County Fair Chance Ordinance for roles based in the unincorporated areas of Los Angeles County, and the California Fair Chance Act for roles based in California). We are committed to providing reasonable accommodations for individuals with disabilities in our job application process. If you need assistance or an accommodation due to a disability, you may contact us at <a href="mailto:accommodations-recruiting@yelp.com" target="_blank">accommodations-recruiting@yelp.com</a> or 415-969-8488.<a href="http://voice.google.com/calls?a=nc,%2B14159698488" target="_blank"></a> Note: Yelp does not accept agency resumes. Please do not forward resumes to any recruiting alias or employee. Yelp is not responsible for any fees related to unsolicited resumes. <a href="https://docs.google.com/document/d/e/2PACX-1vSiQ5ajIdwoMv07VjFKWB71xJJU-yzWOgQkZLRngmFFhquutnmdihX5_E9lY0Qq6m7VSTNQfeO_tMKK/pub" target="_blank">US Recruiting and Applicant Privacy Notice</a> #LI-Remote

Yelp

Analyst, Revenue Operations

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. Applicants must be a BCBA in the state of Louisiana.Position Purpose: Evaluate treatment plans, behavioral support plans and objectives for individuals with Autism Spectrum Disorder.<ul> <li>Provide initial and ongoing clinical assessment of treatment plans utilizing behavioral health expertise, industry standards, and policy requirements</li> <li>Evaluate providers’ recommendations for patient services and objectives. Ensure alignment between patient diagnosis, program objectives, and services recommended</li> <li>Propose modifications to providers and discuss feedback on justifications for exceptions</li> <li>Evaluate patient progress over multiple years and guide board certified behavioral analysts in updating treatment plans and patient objectives</li> <li>Continuously research relevant publications for updates to scientific based guidelines</li> </ul>Education/Experience: Master's degree in Applied Behavioral Analysis or related field. 5+ years of applied behavioral analysis experience. Extensive knowledge of applied behavior analysis within specific populations, understanding and working knowledge of insurance funding for applied behavior analysis. License/Certification: Board Certified Behavior Analyst: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

Autism Clinical Care Analyst

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: To qualify for this Senior Actuarial Analyst role, you must have a Bachelor's degree and meet the Rule of 5. The Rule of 5 means your years of actuarial experience plus the number of actuarial exams passed must equal at least 5 (e.g., 2 years of experience and 3 exams passed). If you're already an ASA or FSA, please see our Associate or Actuary postings.*Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.*Position Purpose: <ul> <li> Assist in pricing, financial analysis, and risk assessment to estimate outcomes for Individual commercial (ACA) products. </li> <li> Support health plan specific actuarial needs and produce actuarial reports to aid in developing corporate strategy. </li> <li>Collaborate with actuaries and non-actuaries to assist with achieving well-rounded healthcare products. </li> </ul>In this Senior Actuarial Analyst role, you will: <ul> <li>Develop, analyze, and support optimizing pricing strategies for ACA Marketplace plans that consider the need for adequate premium rates and the competitive dynamics of a market </li> <li>Review key pricing inputs and assumptions, including experience, reimbursement, and morbidity analyses</li> <li>Lead the rate filing process in at least one state/market, including preparing rate filings and effective communication with federal and state regulators</li> <li>Serve as the main point of contact for all actuarial related activities for an assigned health plan</li> <li>Research and analyze the impact of various federal and state legislative/regulatory changes</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>What is appealing about this role: We are a highly collaborative actuarial team with varying levels of experience. This role will have the opportunity to:<ul> <li>Work directly with company leaders to provide actuarial input on pricing strategies</li> <li>Dive into interesting, complex problems while maintaining work / life balance</li> <li>Even though this role is fully remote, we maintain strong lines of communication with all team members to foster a community</li> <li>This will be an Individual Contributor role with future opportunity to move into a management track</li> <li>We also have a highly competitive study program and full managerial support of study hours</li> </ul>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.Highly preferred skills:<ul> <li>ACA pricing related experience, including rate filing submissions, or an equivalent background in pricing/rate setting for health insurance products</li> <li>Excel, R/R-Studio, SQL</li> <li>Strong financial acumen, with a solid grasp of financial and actuarial principles within a health context</li> <li>Strong attention to detail and written and verbal communication skills, with a proven record of being able to communicate complex actuarial concepts to a variety of audiences</li> </ul>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

Sr Actuarial Analyst - ACA

<h3> Position Summary </h3> The Human Capital Offering Portfolio focuses on helping organizations manage and improve their performance through their most important asset: their people. To stay in front, organizations need to have real-time access to Human Capital insights, experts and innovative technology solutions that are designed to not only drive but sustain and extend organizational performance and engagement. Supporting the products and capabilities of the Human Capital Offering Portfolio, our team is full of passionate, energetic, and multi-talented engineers who are excited about building the world’s greatest personalized and business friendly applications. This role is central to Deloitte’s Human Capital Team, and will spearhead, plan, coordinate, and deliver a variety of Generative AI projects. You will be responsible for leading one or more complex Generative AI projects, including project timeline, scope prioritization, cost, dependencies, and performance risks. This person must be an expert in communication, technology project management, understanding the overall product roadmap, technology stack, application suite, business processes and any downstream system and business impacts. They will collaborate with internal and vendor peers, executives, and line of business partners to ensure the success of projects. Recruiting for this role ends on 5/31/25 Join this team: We’re seeking a highly motivated and experienced Project Manager (PM)/Scrum Master (SM)/Manager with AI experience. This person will help build Human Capital solutions used by the biggest and most influential businesses around the world. Responsibilities: * Collaborate / Align technical and non-technical team members to translate customer needs into world-class solutions * Play a key role in bridging technical and business aspects of AI projects, ensuring that the scopes are feasible, aligned with technical capabilities' roadmap, market maturity, and targeted towards tangible business values * Lead / Coach teams new to Agile / Scrum methodologies * Collaborate with the business to prioritize and define Epics and User Stories * Document User Stories and Acceptance criteria in Jira * Identify / Manage / Mitigate risks to prevent issues * Align / Ensure end-to-end solution success and readiness * Work collaboratively to guide new teams thru the forming, storming, and norming phases * Provide / Accept continuous feedback in the spirit of continuous improvement * Ensure Scrum ceremonies are collaborative, occur on time, and adhere to "best practice" * Promote a healthy and sustainable work environment by using teams’ average velocity to properly size Sprints * Coordinate cross functionally to remove blockers and manage dependencies * Continuously drive execution and accountability * Monitor / Communicate solution status * Determine what’s important and make solution decisions in the absence of clear guidelines or Product Owner participation * When needed, do "whatever it takes" to ensure success * Coach junior PMs / SMs / BAs Required Qualifications: * Bachelor's degree * GenAI/Machine Learning certification * Scrum Master Certification * PMP or other accredited Project Management certifications * 4+ years of experience in Agile/Scrum * 4+ years of JIRA/Confluence experience * 4+ years of familiarity with cloud technologies (AWS, GCP, Azure) * 1+ years of experience leading cross-functional teams to identify, scope, and build GenAI/Machine Learning solutions * 1+ years of experience with Large Language Models (LLM) * 2+ years coaching junior level team members * 2+ years of experience with financial/budget management and complex cost-benefit analysis * 2+ years of experience prioritizing/managing a Portfolio of related projects * Ability to travel 0-25%, on average, based on the work you do and the clients and industries/sectors you serve. * Limited immigration sponsorship may be available Preferred Qualifications: * Bachelor’s degree in Computer Science or Engineering * Excellent verbal/written communication skills * Understanding of AI product management methodologies * Agile Certifications (CSM; ACP; CSPO; SAFe; LeSS) * Excellent organizational skills * Attention to detail and follow up * Past development experience * DevOps awareness * Experience with HRM Systems - SAP, Oracle, SuccessFactors, Workday Information for applicants with a need for accommodation: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> Possible Locations: Atlanta, Austin, Baltimore, Birmingham, Boca Raton, Boise, Boston, Charlotte, Chicago, Cincinnati, Cleveland, Columbus, Costa Mesa, Dallas, Davenport, Dayton, Denver, Des Moines, Detroit, Fort Worth, Fresno, Grand Rapids, Harrisburg, Hartford, Houston, Indianapolis, Jacksonville, Jersey City, Kansas City, Las Vegas, Los Angeles, Louisville, McLean, Memphis, Miami, Midland, Minneapolis, Morristown, Nashville, New Orleans, New York, Philadelphia, Pleasanton, Pittsburgh, Portland, Princeton, Raleigh, Richmond, Rochester, Rosslyn, Sacramento, Salt Lake City, San Diego, San Francisco, San Jose, Seattle, St. Louis, Stamford, Tampa, Tempe, Tulsa, Washington DC The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $144,600 to $241,000. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. For more information about Human Capital, visit our landing page at: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-human-capital-consulting-jobs.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-human-capital-consulting-jobs.html</a> #HC25 #HCaaS25 Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Deloitte

GenAI/Machine Learning Technical Project Manager

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: This position is responsible for developing and executing the strategy to ensure adoption of Centene e-business tools, such as Availity.com, within their assigned geography. This role will drive to reach established goals, and leverage industry knowledge, cross-departmental relationships, and critical thinking skills to reach those goals. With a heavy focus on e-business adoption, this position will have responsibility for adoption of other strategic initiatives as necessary.<ul> <li>Create and drive adoption strategies for e-business tools in collaboration with market leadership</li> <li>Has ownership for leading and achieving state/market goals and key performance targets</li> <li>Lead and coordinate outbound calling assignments between Markets, Availity, TOPS, and any other team proactively reaching out to providers</li> <li>Build relationships with each market’s Provider Experience leads and representatives to ensure successful adoption of e-business tools</li> <li>Knowledge of state/market level business goals</li> <li>Track and report adoption metrics by state/market</li> <li>Track adoption progress by TIN and understand business impact of provider level (multi-TIN and multi-NPI) effort</li> <li>Provide leadership and effectively communicate adoption status to market leaders and stakeholders, may include written executive summaries</li> <li>Partner with PE leads to create provider-specific action plans for the highest volume organizations</li> <li>Understand provider’s unique context and provide adoption guidance</li> <li>Ensure market staff is logging program calls/interactions in CRM</li> <li>Work with Voice of the Provider Team to initiate action as required by VOP reporting</li> <li>Subject matter resource for markets needing specific program assistance</li> <li>Partner with Centene’s Change Management, Training, and Provider Experience teams</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: Bachelor's Degree in Business Administration or equivalent experience required 4+ years experience with e-business transactions, provider workflow, health plan – provider relationships, or related experience requiredPay 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

Technology Adoption Consultant (E-Business)

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:Assist in financial analysis, pricing and risk assessment to estimate outcomes for Medicaid pharmacy services.In this Senior Actuarial Analyst role, you will: <ul> <li> Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes related to Medicaid pharmacy services. </li> <li>Display strong skills in Excel and other data manipulation/visualization tools (e.g., SAS, SQL, R, Python, Power BI, Tableau).</li> <li>Independently review own work to ensure accuracy and completeness. Seeks feedback from peers and managers to improve.</li> <li>Actively seek to understand business objectives and the context of analyses/projects.</li> <li>Prioritize work effectively and allocates time wisely. Seeks opportunities to streamline processes and implement time-saving strategies.</li> <li>Effectively communicate technical concepts to both technical and non-technical audiences.</li> <li>Perform other duties as assigned.</li> <li>Comply with all policies and standards.</li> </ul>Education/Experience:<ul> <li>Bachelor's degree in related field or equivalent experience.</li> <li>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.</li> </ul>License/Certification:<ul> <li>Actively seeking attainment of ASA designation</li> <li> Combination of years of experience and number of SOA actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams. </li> </ul>Preferred skills: <ul> <li>Strong Excel experience including basic formulas, organization, basic VBA</li> <li>SAS and/or SQL familiarity, with some experience being ideal (or other programming background)</li> <li>Strong communication skills including business writing</li> <li>Familiarity with Medicaid or pharmacy preferred</li> </ul>Note: If you have your ASA/FSA credential, please review our Associate Actuary or Actuary titled job openings. This Sr. Actuarial Analyst position is ideal for those who have some actuarial experience &amp; SOA exams (required), and who are not yet credentialed with their ASA. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. However, due to the needs of the business, ideal schedule is 8 am - 5 pm EST / Eastern Standard Time Zone.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

Sr. Actuarial Analyst - Pharmacy

<h3> Position Summary </h3> Technology | PxE HXM | SuccessFactors Functional Engineer Position summary As a SuccessFactors Functional Engineer, you will play an important role in implementing and optimizing SuccessFactors solutions, with a particular focus on the Employee Central module. Your expertise will be pivotal in delivering solutions that delight customers and users, while also driving tangible value for Deloitte's business investments. You will leverage your expertise in SuccessFactors to design, configure, and deploy high-quality, outcome-focused solutions, consistently demonstrating your strong track record. The ideal candidate will be a dependable team player, collaborating with cross-functional teams to ensure the successful implementation and optimization of SuccessFactors solutions. Recruiting for this role ends on March 17, 2025 Work you’ll do <ul> <li> Outcome-Driven Accountability: Embrace and drive a culture of accountability for customer and business outcomes. Develop solutions that solve complex HR problems with valuable outcomes, ensuring high-quality, lean designs and implementations.</li> <li> Technical Leadership and Advocacy: Serve as the technical advocate for SuccessFactors solutions, ensuring module configuration integrity, feasibility, and alignment with business and customer goals. Lead requirement analysis, design, configuration, unit testing, integrations, and support.</li> <li> Engineering Craftsmanship: Maintain accountability for the integrity of the configuration design, implementation, quality, data, and ongoing maintenance and operations. Be hands-on, self-driven, and continuously learn new approaches and frameworks. Create functional/technical specifications, and implement high-quality, supportable, scalable configurations ensuring all quality KPIs are met or exceeded. Demonstrate collaborative skills to work effectively with diverse teams.</li> <li> Customer-Centric Engineering: Develop lean solutions through rapid, inexpensive experimentation to solve customer needs. Engage with customers and product teams before, during, and after delivery to ensure the right solution is delivered at the right time.</li> <li> Incremental and Iterative Delivery: Adopt a mindset that favors action and evidence over extensive planning. Utilize a leaning-forward approach to navigate complexity and uncertainty, delivering lean, supportable, and maintainable solutions.</li> <li> Cross-Functional Collaboration and Integration: Work collaboratively with empowered, cross-functional teams including product management, experience, engineering, and delivery. Integrate diverse perspectives to make well-informed decisions that balance feasibility, viability, usability, and value. Foster a collaborative environment that enhances team synergy and innovation.</li> <li> Advanced Technical Proficiency: Possess deep expertise in modern product engineering practices and principles, including Agile methodologies and DevSecOps to deliver daily product deployments using full automation, if available, documenting changes, tracking versions, performing regular backups, and deploying configuration bundles into production via Instance Sync with all quality checks through SDLC lifecycle. Strive to be a role model, leveraging these techniques to optimize solutioning and product delivery. Demonstrate understanding of the full lifecycle product development, focusing on continuous improvement and learning.</li> <li> Domain Expertise: Quickly acquire domain-specific knowledge relevant to the business or implemented SuccessFactors modules. Translate business/user needs, architectures, and UX/UI designs into functional/technical specifications. Be a valuable, flexible, and dedicated team member, supportive of teammates, and focused on quality and tech debt payoff.</li> <li> Effective Communication and Influence: Exhibit exceptional communication skills, capable of articulating complex technical concepts clearly and compellingly. Inspire and influence teammates and product teams through well-structured arguments and trade-offs supported by evidence. Create coherent narratives that align technical solutions with business objectives.</li> <li> Engagement and Collaborative Co-Creation: Engage and collaborate with product engineering teams at all organizational levels, including customers as needed. Build and maintain constructive relationships, fostering a culture of co-creation and shared momentum towards achieving product goals. Align diverse perspectives and drive consensus to create feasible solutions.</li> </ul> The successful candidate will have and/or be able to: <ul> <li>Strong SAP SuccessFactors platform foundation with the understanding of OOPs, data structures, algorithms, configuration, user permissions, etc. </li> </ul> <ul> <li>Advanced knowledge is required in creating and maintaining foundation and generic objects, workflows, configuring business rules, event reasons, Metadata Framework (MDF), Role-Based Permissions (RBP), leveraging SAP Cloud Platform Integration (CPI) or Boomi/MuleSoft, and data exchange formats (XML/JSON).</li> <li>Experience in AI/ML and GenAI.</li> </ul> <ul> <li>Excellent interpersonal and organizational skills, with the ability to handle diverse situations, complex projects, and changing priorities, behaving with passion, empathy, and care.</li> </ul> The team US Deloitte Technology Product Engineering has modernized software and product delivery, creating a scalable, cost-effective model that focuses on value/outcomes that leverages a progressive and responsive talent structure. As Deloitte’s primary internal development team, Product Engineering delivers innovative digital solutions to businesses, service lines, and internal operations with proven bottom-line results and outcomes. It helps power Deloitte’s success. It is the engine that drives Deloitte, serving many of the world’s largest, most respected companies. We develop and deploy cutting-edge internal and go-to-market solutions that help Deloitte operate effectively and lead in the market. Our reputation is built on a tradition of delivering with excellence. Qualifications Required: <ul> <li>5+ years proven experience with SuccessFactors, specifically in implementing and optimizing the Employee Central module. SAP SuccessFactors Employee Central Certification is required.</li> <li>Limited immigration sponsorship may be available</li> <li>Ability to travel 0-10%, on average, based on the work you do and the clients and industries/sectors you serve</li> </ul> Preferred: <ul> <li> A bachelor’s degree in computer science, software engineering, or a related discipline and/or advanced degree (e.g., MS)</li> <li> Previous experience using methodologies &amp; tools like, XP, Lean, SAFe, DevSecOps, SRE, ADO, GitHub, SonarQube, etc. to deliver high quality products rapidly.</li> <li>Previous experience with JavaScript, Groovy, Python, SQL, and planning and configuring architectural layouts for various BizX suite modules.</li> </ul> Information for applicants with a need for accommodation: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $93,000 - $191,000. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. EA_ExpHire EA_ITS_ExpHire Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Technology | PxE HXM | SuccessFactors Functional Engineer

You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. *Applicants for the job have the flexibility to work remote from home anywhere in the United States; however, must be able to work a Monday - Friday schedule that covers 11:00 a.m. - 8:00 p.m. Eastern Time. Position Purpose: Leverages real-time analytics to monitor contact center call traffic, reflect current workforce operational targets, and predict resource demands. Works closely with senior workforce team members to optimize simple contact center capabilities.<ul> <li>Performs real-time monitoring of queue metrics and contact center staff performance within internal systems to ensure contact center achieves service level expectations</li> <li>Assists with managing real-time response to events and incidents, and escalating to appropriate teams when needed</li> <li>Assists in managing real-time allocations of resources, prioritizing certain channels as necessary, and escalating requests for staffing changes</li> <li>Monitors real-time adherence to schedules for team members and provides feedback to leaders in real-time via pre-defined communication channels</li> <li>Acts as primary point of contact for daily scheduling questions, issues, or changes</li> <li>Creates scheduled (e.g., daily, weekly) and ad-hoc reports on various performance metrics</li> <li>Processes new hire profiles in internal workforce management tool and links call management systems to reflect real time activity</li> <li>Modifies, cancels, or re-prioritizes planned or shrinkage under direct guidelines from senior team members</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: Requires a Bachelor's degree and 0 – 2 years of related experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Experience as project lead handling large projects in similar domain preferred.Pay Range: $22.50 - $38.02 per hourCentene 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

Centene Corporation

Workforce Real-Time Management Analyst I

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:Conduct in-depth data and financial analysis, spearhead ad hoc projects, and lead recurring reports for the Medicare Finance team and other finance leaders by utilizing his/her strong technical skills.In this Finance Analyst III role, you will:<ul> <li>Conduct complex data analysis on both an ad hoc and a recurring basis</li> <li>Assist with the development of financial models based on projected membership results</li> <li>Develop new reports as well as updating pre-established reports, collaborating with finance leaders and internal stakeholders</li> <li>Identify key membership trends and summarize findings for finance partners and other stakeholders; Power BI and SQL experience preferred</li> <li>Contribute commentaries and insights into state/regional membership performance through data deep-dive; Advanced Excel skills required</li> <li>Research and pinpoint drivers of variances</li> <li>Present and discuss analysis with upper management</li> </ul>Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of financial or data analysis experience. Advanced skills in Microsoft Excel.Preferred skills:<ul> <li>Experience in managed care, specializing in financial analysis.</li> <li>Advanced SQL and Power BI knowledge.</li> <li>Excellent communication skills and a demonstrated ability to manage large volumes of data with exceptional attention to detail.</li> </ul>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

26 IT Jobs in California