field_remote_option

job_industry

field_job_occupational_field_parents_all

job_organization_name

job_upgrade_is_featured

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: As part of Fidelis Care, a subsidiary of Centene, the Senior Healthcare Analyst provides analytic support for financial modeling, trend analysis, therapeutic class strategy, and initiative implementation and measurement. Develops custom reports and models used in identifying issues, trends, patterns and relationships to be applied in financial and operational decisions.*Candidates residing in EST time zone, preferred. The role is fully remote and may have 10% travel.<ul> <li>Develops financial models to project cost or estimate savings for specific business decisions.</li> <li>Develops and manages therapeutic class cost and utilization projection models to support budget forecasting, pricing, and strategy development.</li> <li>Develops exception reporting and conducts drill down analysis to proactively identify specific opportunities and risks that warrant assessment by the Strategy Development Committee.</li> <li>Develop data analytics solutions using Power BI.</li> <li>Use SQL to query, manipulate, and manage large datasets efficiently.</li> <li>Gather and clean data from various sources, ensuring accuracy and completeness.</li> <li>Present insights to stakeholders in a clear and actionable format.</li> <li>Analyze large datasets to identify trends, patterns, and insights.</li> <li>Monitors projection targets. Analyzes, researches, and interprets results, variances, and trends.</li> <li>Prepares and maintains strategy documents for therapeutic classes.</li> <li>Prepares and communicates trend analysis and recommendations verbally and in writing to committees, clinical staff, management, and clients.</li> <li>Develops and manages reporting templates used to analyze and interpret data.</li> <li>Designs complex ad hoc reports to support a variety of functional areas.</li> <li>Advises Healthcare Analysts in producing reports and interpreting data.</li> </ul>Education/Experience: ​<ul> <li>Bachelor’s degree in business, finance, public health, health informatics or related field required. Master's degree preferred.</li> <li>Minimum five years related experience with minimum two years financial modeling experience required.</li> <li>Experience in Healthcare analytics of financial/clinical data, with knowledge of analytical or data mining techniques including data modeling, trend analysis, and root-cause analysis strongly preferred.</li> <li>Experience using advanced analytical/reporting tools such as R, Python, SAS, SQL, Snowflake, Micro-strategy, Tableau, Hadoop, or related tools strongly preferred.</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

Oklahoma Complete Health

Senior Healthcare Analyst

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: Executes and supports the enterprise IT Disaster Recovery and I/S Crisis process with the goal to ensure that the Enterprise Critical I/S services and work processes can be resumed with agreed upon service and resumption levels. Leads in Disaster Recovery requirements gathering and recommends recovery strategies and options. Facilitates the implementation of recovery solutions.<ul> <li>Develops and implements a business recovery plan and procedure; review, revise, and expand existing plans and protocols</li> <li>Develops, maintains, and implements the Enterprise Disaster Recovery Plans, risk assessments, and application and technical strategies together with other teams</li> <li>Conducts risk assessments for various departments and functions, analyzing potential business impact of unpredictable business interruptions such as natural disasters, security breach, legal claims, and market disruptions]</li> <li>Drives the alignment of IT organization priorities and plans with key business objectives</li> <li>Identifies, troubleshoots and implements recovery operations and methods to allow the company to function at limited or partial capacity in the event that part or all of the infrastructure is damaged or destroyed</li> <li>Creates and facilitates practice drills for plan execution</li> <li>Develops and track program metrics (as developed) to show activities and progress</li> <li>Reviews, configures and maintains business continuity and crisis management tools</li> <li>Coordinates with health, safety, and security staff and local, state, and federal agencies to align the organization's emergency management plan with established best practices and community standards</li> <li>Supports the event of a business disruption to manage the response coordination and communications</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 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Preferred Skills: <ul> <li>Ensure disaster recovery plans are robust, tested, and capable of meeting recovery point objectives (RPO) and recovery time objectives (RTO)</li> <li>Create and maintain disaster recovery capabilities and risk profiles</li> <li>Ensuring compliance standards</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> </ul> License/Certification:<ul> <li>Certified Business Continuity Professional (CBCP)</li> <li>Crisis Communication Certified Expert (CCCE)</li> <li>Disaster Recovery Certified Planner (DRCP)</li> <li>Master Business Continuity Professional Certification (MBCP)</li> </ul>Pay Range: $85,300.00 - $158,100.00 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 Disaster Recovery Analyst

About Lumen Lumen connects the world. We are igniting business growth by connecting people, data and applications – quickly, securely, and effortlessly. Together, we are building a culture and company from the people up – committed to teamwork, trust and transparency. People power progress. We’re looking for top-tier talent and offer the flexibility you need to thrive and deliver lasting impact. Join us as we digitally connect the world and shape the future. <h2>The Role</h2> Are you motivated by driving business outcomes and interested in partnering closely with the business leadership in Lumen? Does working with agility in a fast-paced environment sound exciting? The Lead Analyst will provide business partnering, financial analysis and insight for business and finance leadership, supporting the Product organization in achieving their operating expense (opex) objectives. This role is expected to take ownership of partnering with business leadership and delivering insightful analysis and reporting. This will require a strong analytical, reporting and business partnering mindset to drive performance, communicate risks and opportunities and build strong relationships with senior stakeholders. <h2>Location</h2> This is a remote opportunity open to candidates located anywhere in the U.S. <h2>The Main Responsibilities</h2> <ul> <li>Analysis and reporting of month-end results, variance analysis and commentary.</li> <li>Budgeting, forecasting and analytics across the Product organization, to ensure high quality outputs and identification of opportunities and risks to business performance.</li> <li>Deep financial analysis, model and report creation, insight generation and business partner communication; high acumen in modelling financial outcomes, utilizing multiple inputs and data tools.</li> <li>Build insightful reporting to monitor key metrics across the Product organization, for use in modelling and building accurate financial projections.</li> <li>Effectively communicate with business stakeholders to ensure risks and opportunities are understood and addressed.</li> <li>Partner with business leadership and stakeholders, ensuring effective communication, delivery of commitments, and accurate and timely deliverables.</li> <li>Creation and simplification of standardized reporting and outputs, through various tools such as Excel, Power BI and Power Query.</li> </ul> <h2>What We Look For in a Candidate</h2> Required <ul> <li>Proven ability to take high level direction and produce results which show thought leadership and drive value creation for the business with limited supervision.</li> <li>Savvy in solving complicated data and analytical challenges – evolves reporting and analysis to guide business and drive impact more effectively (individually and through team members).</li> <li>Thrives on continuous improvement - simplifying and automating processes and data using technology, while taking a hands-on approach to getting into the detail.</li> <li>A strong communicator with business partnering background and a proven track record at building relationships with stakeholders.</li> <li>Self-motivated; manages and prioritizes multiple deadlines and deliverables.</li> <li>Creative approach to problem solving, with a predisposition to look for root causes and implement lasting change rather than quick fixes.</li> <li>Attention to detail – spots underlying trends and inconsistencies in financial data and analysis.</li> <li>Skilled in advanced Microsoft Excel functionality (experience with Power Query, SQL or Power BI a significant advantage).</li> </ul> Preferred <ul> <li>Experience with analytic and business intelligence software (Power BI, Essbase, SAP).</li> <li>Understanding of data manipulation and analytical tools such as SQL, Power BI or Power Query. </li> <li>Finance focused degree (or equivalent education).</li> <li>Previous business partnering experience within the Technology industry would be advantageous. </li> <li>Strong Commercial or Business Finance background.</li> <li>Ability to communicate data-driven insights through charts and visuals. </li> </ul> <h2>Compensation</h2> This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Individual pay is based on skills, experience and other relevant factors. Location Based Pay Ranges: $82,969 - $110,625 in these states: AL, AR, AZ, FL, GA, IA, ID, IN, KS, KY, LA, ME, MO, MS, MT, ND, NE, NM, OH, OK, PA, SC, SD, TN, UT, VT, WI, WV, and WY. $87,117 - $116,156 in these states: CO, HI, MI, MN, NC, NH, NV, OR, and RI. $91,266 - $121,688 in these states: AK, CA, CT, DC, DE, IL, MA, MD, NJ, NY, TX, VA, and WA. Lumen offers a comprehensive package featuring a broad range of Health, Life, Voluntary Lifestyle benefits and other perks that enhance your physical, mental, emotional and financial wellbeing. We're able to answer any additional questions you may have about our bonus structure (short-term incentives, long-term incentives and/or sales compensation) as you move through the selection process. Learn more about Lumen's: <ul> <li><a href="https://jobs.lumen.com/global/en/benefits-statement" target="_blank">Benefits</a></li> <li><a href="https://jobs.lumen.com/global/en/compensation-information" target="_blank">Bonus Structure</a></li> </ul> Requisition #: 337119 Background Screening If you are selected for a position, there will be a background screen, which may include checks for criminal records and/or motor vehicle reports and/or drug screening, depending on the position requirements. For more information on these checks, please refer to the Post Offer section of our <a href="https://jobs.lumen.com/global/en/faq" target="_blank">FAQ page</a>. Job-related concerns identified during the background screening may disqualify you from the new position or your current role. Background results will be evaluated on a case-by-case basis. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Equal Employment Opportunities We are committed to providing equal employment opportunities to all persons regardless of race, color, ancestry, citizenship, national origin, religion, veteran status, disability, genetic characteristic or information, age, gender, sexual orientation, gender identity, gender expression, marital status, family status, pregnancy, or other legally protected status (collectively, “protected statuses”). We do not tolerate unlawful discrimination in any employment decisions, including recruiting, hiring, compensation, promotion, benefits, discipline, termination, job assignments or training. Disclaimer The job responsibilities described above indicate the general nature and level of work performed by employees within this classification. It is not intended to include a comprehensive inventory of all duties and responsibilities for this job. Job duties and responsibilities are subject to change based on evolving business needs and conditions. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Please be advised that Lumen does not require any form of payment from job applicants during the recruitment process. All legitimate job openings will be posted on our official website or communicated through official company email addresses. If you encounter any job offers that request payment in exchange for employment at Lumen, they are not for employment with us, but may relate to another company with a similar name. Application Deadline 03/01/2025

CenturyLink

Lead Finance Analyst Product & Technology

The Opportunity At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Operations Transformation and Technical Quality Operations organizations include diverse teams of Quality Analysts that address core business challenges within MetLife. This role will conduct quality reviews of the Return to Health clinical team, collecting and analyzing quality opportunities and root causes to ensure quality standards are achieved. How You’ll Help Us Build a Confident Future (Key Responsibilities) <ul> <li>Conducts clinical quality reviews of the Vocational Rehabilitation Counselors (VRC) within the Vocational Health Unit (VHU) for the Return to Health organization.</li> <li>Identifies trends, root causes, and areas of opportunity from the analysis of data developed from the completed quality reviews.</li> <li>Provides consistent, timely, and meaningful feedback regarding behaviors identified and quality standards.</li> <li>Participates in problem solving discussions and proposes potential solutions to identified areas of opportunity with the Return to Health organization to drive results.</li> <li>Detects, analyzes, and presents Objective and Key Results to operational partners on an ongoing basis.</li> <li>Collaborates within a team dynamic to promote and sustain a culture of quality improvement.</li> </ul> What You Need to Succeed (Required Qualifications) <ul> <li>MA/MS in Rehabilitation Counseling and 5+ years of relevant experience </li> <li>Advanced written and verbal communication skills </li> <li>Ability to provide constructive feedback at all levels and build relationships through these interactions</li> <li>Desire and ability to cross train into additional health unit(s) to expand scope of quality reviews</li> <li>Demonstrated critical thinking, attention to detail, analysis, and problem-solving skills </li> <li>Microsoft Office, Power Point, and Excel knowledge </li> <li>Ability to work independently and as a team</li> <li>Certified Rehabilitation Counselor (CRC) certification or Behavior Health experience (LCMHC or LCSW license).</li> </ul> What Can Give You an Edge (Additional Skills) <ul> <li>Strong knowledge of psychiatric conditions, symptoms, and terminology.</li> <li>Certified Rehabilitation Counselor (CRC) certification and Behavior Health experience (LCMHC or LCSW license). </li> </ul>

MetLife

Behavior Health Senior Quality Analyst

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary CVS Health has an exciting new opportunity within the Grievances team in Scottsdale, AZ. As a Grievance Analyst, you will be responsible for researching, resolving, and communicating any issues, questions, or concerns our members have about their coverage and benefits provided through Medicare Part D. You will have the opportunity to work cross functionally with different departments within CVS Health to support the research into these members’ issues. Once resolved you will be responsible for outreach to each member with a verbal and/or written response explaining the resolution of the issues. As you support our Med D members, we will support you by offering all the tools and resources you need in a collaborative team-based environment. Our goal is to ensure you can provide top tier service and resolution for our members. We use our own emphasis on quality as well as government mandated turnaround times to ensure we do our job effectively, always focusing on helping people on their path to better health. In order to be successful in this role you will need to be detail-oriented with proficient research skills and demonstrate the ability to analyze data, apply learnings, and construct a resolution in a timely manner. A successful Analyst is receptive to constructive feedback and flexible in adapting to change while effective in planning, prioritizing, and organizing their time and workload to achieve production goals and turnaround time requirements. Analysts are expected to close grievances cases daily, close 15-20 cases per week (depending on inventory) and close all cases within 25 days of TAT while maintaining the highest quality standards. In this position you will be measured by your ability to use your judgement to execute to reach these department goals. Additional responsibilities of the Analyst include creatively constructing written formal communication to members, multitasking, and working with up to 15 various computer applications and documenting the issue and resolutions in the database, while adhering to the strict turnaround times established by the Center for Medicare and Medicaid Services (CMS). Required Qualifications - 2 plus years of experience working within a customer service role on several computer applications and complex databases for research, including Microsoft Office products (Excel, Word, and Outlook). Preferred Qualifications - Previous experience within Pharmacy Benefit Management (PBM) or pharmaceutical related industry. - Previous Med D grievance experience. - Bachelors Degree Preferred. Education High School Diploma or equivalent General Education Degree (GED) Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$43,888.00 - $85,068.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 03/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Grievance Analyst (Caseworker)

At Mitratech, we are a team of technocrats focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions of Fortune 100 companies. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move at a rapid pace with some of the most complex, leading-edge technologies available. Given our continued growth, we always have room for more intellect, energy, and enthusiasm - join our global team and see why it's so special to be a part of Mitratech! Job Overview Mitratech seeks talented individuals who can support our growth globally and support our Managed Bill Review solution. We have an excellent opportunity within our Compliance Services Group for a legal professional (paralegal or attorney), seeking an alternative career path to that of private law practice or corporate law department, to utilize their legal education and work experience in a unique manner. Essential Duties &amp; Responsibilities: <ul type="disc"> <li>Perform an objective and subjective review of law firm invoices to determine compliance with the client’s Outside Counsel billing guidelines</li> <li>Effectively prioritize and self-manage workflow to meet a standard analysis time for invoice processing according to Mitratech's Managed Bill Review methodology and client requirements</li> <li>Establish and maintain excellent rapport as a primary contact for assigned client(s)</li> <li>Develop and maintain diplomatic relationships with law firms to best serve mutual client(s)</li> <li>Communicate and respond to inquires from external parties as needed</li> <li>Track and update client authorizations and exceptions at the law firm and case level in company database</li> <li>Work closely with other departments to ensure accuracy and completeness of client data</li> </ul> Requirements &amp; Skills: <ul type="disc"> <li>Minimum two (2) years prior law firm experience as a paralegal or attorney within one or more of the following practice areas: general liability, workers’ compensation, insurance defense, health care law, asbestos litigation, civil tort, intellectual property/patent, class action or business law</li> <li>Demonstrated ability to work independently with the highest level of integrity and confidentiality</li> <li>Strong work ethic, initiative and commitment to team success</li> <li>In-depth knowledge of legal terminology and defense counsel billing practices (including hourly billing)</li> <li>Thorough understanding of litigation process</li> <li>Advanced deductive reasoning skills</li> <li>Superior customer service skills</li> <li>Strong working knowledge of Microsoft Office</li> <li>Sound judgment and decision-making abilities</li> <li>Flexibility and ability to multi-task</li> <li>Organized and detail-oriented</li> </ul> Education: <ul> <li> J.D. or ABA-approved Paralegal Certification (or equivalent degree in Paralegal Studies) required Mitratech remains committed to equitable and transparent pay practices. Final base salary offered may vary from the range listed and will be determined after carefully considering multiple factors during the hiring process, including location, relevant experience and education, required competencies and skill proficiency level, and review of internal equity. We encourage candidates to apply even if they may not meet all listed requirements. We will disclose intended pay ranges in our job ads for US-based opportunities– This role can be performed 100% remote anywhere in the US. Anticipated Pay Range: $55,000 - $63,000 Annually USD Total compensation includes US employee benefits, and annual bonus eligibility. Benefits we offer: · Health, Dental &amp; Vision Insurance · 401k + Employer Match · PTO + 11 Paid Holidays + 4 Annual Paid Global Wellness Days Off · STD, LTD &amp; Group Life Insurance · Paid Parental Leave · Pet Insurance · FSA &amp; HSA Options · Employee Assistance Program Perks we offer: · Remote Work · Career Advancement &amp; Professional Development Opportunities · Employee Recognition The position will remain posted until a candidate has been hired, or we may pull the job ad at any time due to volume of qualified applicants. </li> </ul> Mitratech is proud to be an EEOE, M/F/D/V, and we are committed to diversity both in practice and spirit at the corporate level. Mitratech participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: <a href="http://everify.com/" target="_blank">everify.com</a> We are an equal-opportunity employer that values diversity at all levels. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, or veteran status.

Mitratech

Analyst, Legal Billing

Req ID: 76276 Location: Tulsa -TUL Areas of Interest: Bank Operations Pay Transparency Salary Range: Not Available Application Deadline: 04/06/2025 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> Discretionary <h2>Summary</h2> The bank operations team supports smooth financial transactions and innovative infrastructure modernization. They excel in system integration, secure data handling, and fostering a collaborative workplace. By prioritizing risk mitigation alongside regulatory compliance, operational resilience, and cost-effective management, they fuel the bank’s growth and success. <h2>Job Description</h2> Adjustments Analyst are responsible for researching, analyzing, and resolving complex discrepancies related to financial transactions across all lines of business. This role ensures accurate and timely adjustments are made to customer and internal general ledger accounts, maintaining the integrity of financial data, and providing exceptional service to both internal and external clients, while working to mitigate against loss, due to fraud and regulatory guidelines. <h2>Team Culture</h2> Our culture is built on collaboration and partnership, where we prioritize building strong relationships. We are dedicated to exceeding expectations by delivering top-quality products, services, and advice, while ensuring effective communication and portfolio growth. By creating streamlined solutions, mitigating risk, and increasing scalability, we support continuous operations and organizational resilience, all while aligning our goals with the business lines we support to ensure the safety of our customers and the bank. <h2>How You'll Spend Your Time</h2> <ul> <li>You will conduct investigations into disputed transactions and resolve them according to bank policies, industry rules, and regulations.</li> <li>You will manage and promptly process a portfolio of various adjustment cases in line with regulatory requirements.</li> <li>You will review communications from financial institutions and partners to identify issues and determine actions.</li> <li>You will complete financial entries to rectify cases, working with clearinghouses and peer banks to manage funds.</li> <li>You will maintain detailed records of adjustments and communications, ensuring regulatory compliance.</li> </ul> <h2>Education &amp; Experience Requirements</h2> This level of knowledge is normally acquired through completion of an associate degree in finance or Bank Accounting related fields and 2-3 years of related experience in complex case management resolution and/or Adjustments processing or equivalent combination of education and experience. <ul> <li>Ability to analyze and interpret financial data to identify discrepancies and determine corrective actions.</li> <li>Working knowledge of accounting principals</li> <li>High level of accuracy in reviewing transactions and processing adjustments.</li> <li>Strong problem-solving skills to investigate and resolve complex issues efficiently.</li> <li>Excellent verbal and written communication skills for interacting with clients, colleagues, and external institutions.</li> <li>Strong customer service skills to effectively address client inquiries and concerns.</li> <li>Ability to manage multiple tasks and prioritize workloads to meet deadlines.</li> <li>Capability to work collaboratively within a team and across departments.</li> <li>Understanding of relevant banking regulations and compliance requirements.</li> <li> Exceptional organizational abilities to maintain detailed records and documentation.</li> <li>Flexibility to adapt to changing processes and procedures.</li> <li>Commitment to maintaining confidentiality and handling sensitive information securely.</li> </ul> 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.

Bank of Oklahoma

Adjustment 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. Remote Available.Position Purpose: Evaluate data and insights from extensive and integrated data sets to enable data-driven decision making to reduce overall cost of care and improve clinical outcomes for members. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights.<ul><li>Support business initiatives through data analysis, identification of implementation barriers, and development of documentation and project planning</li></ul><ul><li>Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation</li></ul><ul><li>Identify ways to enhance performance management and operational reports</li></ul><ul><li>Support identification of and incorporate organizational best practices into business applications and processes</li></ul><ul><li>Lead problem solving and coordination efforts between various business units</li></ul><ul><li>Assist with formulating and updating departmental policies and procedures</li></ul><ul><li>Serve as a subject matter expert on assigned functions, products, or analytic domains in support of strategic objectives</li></ul><ul> <li>Provide process and requirements guidance to junior analysts</li> <li>Performs other duties as assigned</li> </ul><ul><li>Complies with all policies and standards</li></ul>Education/Experience: Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Master's degree preferred. 4+ years of experience in business process, data analysis, or requirements analysis. Healthcare, analytics delivery, project management, and/or IT experience preferred. 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

Business Analyst III (Medicaid, Reconciliation)

<h2>Company Description</h2> Therapy &amp; Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006. At Therapy &amp; Beyond, we approach the needs of each patient both individually and as part of a dynamic interdisciplinary team working with experts in applied behavior analysis (ABA) therapy, speech-language pathology, occupational therapy, and counseling. We love helping individuals reach their full potential by supporting not only the patient but also their family. We are passionate about what we do while remaining true to our defining core values of: Putting People First, Doing Our Best Together, Making Therapy Fun, and Above All, We grow potential! <h2>Job Description</h2> Why you will love working at Therapy &amp; Beyond with us! <ul> <li>Competitive Compensation: $60,000 to $65,000 salary with uncapped bonuses!</li> <li>Collaboration - Holistic treatment team approach with OTs and SLPs</li> <li>Clinic Culture - Fun work environment with weekly spirit days and team events!</li> <li>Mentorship - Direct Treatment Support from Executive BCBA Leadership</li> <li>Treatment Focused: Centralized Operations and Billing teams dedicated to your admin tasks</li> <li>Work/Life Balance - Recognized Holidays and Generous PTO<ul><li>Paid day off for your birthday! </li></ul> </li> <li>Career Advancement:<ul> <li>Opportunities to grow into a Leadership role</li> <li>Tailored Mentoring and Supervision for BCaBA Candidates</li> </ul> </li> <li>Professional Affiliations and Expanding Knowledge:<ul> <li>Reimbursements for Licensure</li> <li>Individual memberships in CASP</li> <li>3 flexible CEU days and internal CEU opportunities</li> </ul> </li> <li>Generous benefit Package: <ul> <li>Medical, Dental, Vision, and Disability</li> <li>Company Paid- Life Insurance</li> <li>401K with company match</li> <li>Company Paid Short-Term Disability</li> <li>HSA and FSA options</li> <li>Employee Assistance Program </li> <li>Employee Recognition</li> </ul> </li> </ul> What to expect in a typical day: <ul> <li>Facilitate a team approach toward treatment in a clinical setting</li> <li>Train, supervise, and mentor behavior therapists</li> <li>Implement, monitor, collect, and evaluate data.</li> <li>Understand and utilize the following skill sets:<ul> <li>Evaluate the Efficacy of Treatment;</li> <li>Perspective-taking of patients, staff, and families;</li> <li>Effective Demonstration of Implementation of Therapy;</li> <li>Demonstration of Professional Behavior;</li> <li>Competence with Crisis Intervention;</li> <li>Facilitating Effective Training with Parents and Staff</li> </ul> </li> </ul> <h2>Qualifications</h2> <ul> <li>Bachelor degree in a Behavior related field</li> <li>Active BCaBA Certification</li> <li>Experience in a clinical treatment setting preferred</li> </ul> <h2>Additional Information</h2> All your information will be kept confidential according to EEO guidelines.

Therapy and Beyond - Aba Therapy

Board Certified Assistant Behavior Analyst (BCaBA)

<h1> Senior Analyst, Data Science, Capacity Modeling and Optimization</h1> Job Locations US-Remote | US-MA-Boston | US-NH-Portsmouth | US-OH-Columbus | US-TX-Plano | US-WA-Seattle <dl> <dt>ID</dt> <dd> 2025-69121 </dd> <dt>Position Type</dt> <dd> Full-Time </dd> <dt>Minimum Salary</dt> <dd> USD $104,000.00/Yr. </dd> <dt>Maximum Salary</dt> <dd> USD $197,000.00/Yr. </dd> <dt>Typical Starting Salary</dt> <dd> $123,000 - $174,000 </dd> <dt>Flexible Time Off Annual Accrual - days</dt> <dd> 20 </dd> <dt>Application Deadline</dt> <dd> 3/14/2025 </dd> </dl> <h2> Pay Philosophy </h2> The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. <h2> Description </h2> The creative problem solvers in Liberty Mutual’s Insights &amp; Solutions group harness the power of data, analytics and technology to develop innovative solutions that drive our US Retail Markets business forward and support a high-performing culture. This group brings together highly talented thinkers and doers ready to challenge the status quo and make an impact. As a member of this cross-functional group, you’ll collaborate with teams across Liberty Mutual to deliver analysis that unlocks insights and sparks new, better ways of working. The US Retail Markets Data Science team brings together a diverse range of talent to predict future risk and what our customers will need to recover. Our data engineers write code that turns trillions of bits of information into structured data—data that our hundred-plus Data Scientists analyze with cutting-edge modeling techniques to unlock insights. From there, our tools and deployment teams ensure this data can be practically applied to business problems across US Retail Markets. Join us and be a part of this dynamic group driving industry-leading data segmentation, fueling the team’s success now and into the future. The USDS Claims and Service Data Science (CSDS) team is seeking a talented individual to join our Capacity Modeling and Optimization team. If you are enthusiastic about utilizing your data science expertise to enhance staffing strategies and optimize operational efficiency, this role presents an excellent opportunity for you. In this role, you will help build and implement advanced staffing optimization models, forecasting, and predictive models that leverage best-in-class data science tools and techniques. This position offers an exciting opportunity to blend analytical expertise with practical business insights to shape the future of our claims operations. As a Data Scientist, you will work closely with a high-performing team of data scientists and claims professionals, utilizing your analytical skills, project management abilities, and intellectual curiosity to drive impactful results. You will have the opportunity to influence the entire modeling process, from initial analysis to model deployment and ongoing evaluation. Successful candidates will possess a solid understanding of business objectives, hands-on experience with data analysis, and foundational knowledge of predictive modeling techniques. Strong communication and interpersonal skills are crucial, as you will work collaboratively with team members and internal partners to implement, monitor, and enhance our models. This role will play a vital part in optimizing staffing capabilities and improving the overall efficiency of the organization’s claims operations. **This role may have in-office requirements depending on candidate location** Responsibilities: <ul> <li>Apply data science techniques to manipulate large structured and unstructured datasets, generating insights that inform business decisions.</li> <li>Identify and test hypotheses as part of building predictive models for staffing and forecasting applications, ensuring statistical significance.</li> <li>Translate quantitative analyses into accessible visuals for non-technical audiences, providing clear interpretations of data findings.</li> <li>Support the business in making informed trade-offs by providing insights into likely outcomes of different staffing scenarios.</li> <li>Customize analytic solutions to address specific client needs and operational challenges.</li> <li>Demonstrate coding proficiency in Python, with a strong grasp of data science libraries and frameworks.</li> <li>Utilize an understanding of optimization algorithms and their application in business contexts, and engage in building predictive models using contemporary machine learning (ML) and large language model (LLM) architectures as needed.</li> <li>Exhibit strong communication skills to effectively convey project proposals and outcomes to non-technical stakeholders.</li> <li>Engage actively with the Data Science community and leverage knowledge of MLOps standards, exploratory data analysis (EDA), and data visualization.</li> <li>Query databases using SQL to support data-driven decision-making.</li> </ul> <h2> Qualifications </h2> <ul> <li>Solid knowledge of predictive analytics techniques and statistical diagnostics of models.</li> <li>Advance knowledge of predictive toolset; expert resource for tool development.</li> <li>Demonstrated ability to exchange ideas and convey complex information clearly and concisely.</li> <li>Has a value-driven perspective with regard to understanding of work context and impact.</li> <li>Competencies typically acquired through 0-1 yrs. of related experience with a Ph.D., a minimum of 2-3 yrs. of experience with a master’s degree, a minimum of 4+ yrs. of experience with a bachelor’s degree.</li> </ul> <h2> About Us </h2> As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally. At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow. We are proud to support a diverse, equitable and inclusive workplace, where all employees feel a sense of community, belonging and can do their best work. Our seven Employee Resource Groups (ERGs) offer a centralized, open space to bring employees and allies together to connect, learn and engage. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: <a href="https://LMI.co/Benefits" target="_blank">https://LMI.co/Benefits</a> Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices <ul> <li><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/ca-fair-chance-act.pdf" target="_blank">California</a></li> <li><a href="https://bca.lacity.gov/Uploads/fciho/FCIHO-factsheet-2024-03-05.pdf" target="_blank">Los Angeles Incorporated</a></li> <li><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2025/01/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf" target="_blank">Los Angeles Unincorporated</a></li> <li><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/pa-philadelphia-fair-chance-law.pdf" target="_blank">Philadelphia</a></li> <li><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/ca-san-francisco-fair-chance.pdf" target="_blank">San Francisco</a></li> </ul> <h2>Options</h2> <a href="https://careers-libertymutual.icims.com/jobs/69121/senior-analyst%2c-data-science%2c-capacity-modeling-and-optimization/job?mode=apply&amp;apply=yes&amp;hashed=-1834448064" target="_blank"> Apply NowApply </a><a href="https://careers-libertymutual.icims.com/jobs/69121/senior-analyst%2c-data-science%2c-capacity-modeling-and-optimization/referral?hashed=-625979090" target="_blank"> Email this job to a friendRefer </a> Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. <h2> Need help finding the right job? </h2> We can recommend jobs specifically for you! <a href="https://careers-libertymutual.icims.com/connect?back=intro&amp;findajob=1&amp;hashed=-625979090" target="_blank"> Click here to get started. </a> <a href="https://icims.help/candidate-faq" target="_blank">System Troubleshooting</a>Software Powered by iCIMS <a href="http://www.icims.com/platform_help?utm_source=platform&amp;utm_medium=link&amp;utm_content=page1&amp;utm_campaign=platform%20help" target="_blank">www.icims.com</a>

413 IT Jobs