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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. <h1>***POSITION IS REMOTE***</h1><h1>The ideal candidate will have Fraud, Waste and Abuse or Payment Integrity Experience***</h1>Position Purpose:<ul> <li>Designs, develops, and distributes evidence-based medical documents, including clinical practice guidelines, criteria sets, and technology assessments for inclusion into the "Guide for Evidence-Based Medicine.</li> <li>Researches topics utilizing medical texts and on-line medical literature.</li> <li>Presents draft document at the Health Net, Inc Medical Director Forum and the Health Net of California Medical Policy Committee.</li> <li>Investigates and responds to inquiries on medical topics requested by various groups; collects, trends and maintains outside independent review decisions regarding technology assessment and experimental/investigational services.</li> <li>Works closely with other departments to ensure dissemination of reliable and accurate medical information to physicians and members.</li> <li>Performs annual reviews of all medical policy documents.</li> </ul>Education/Experience: BSN, MSN or equivalent; Desire Masters degree in nursing, public health or health care administration or equivalent. Minimum three years experience in an acute care setting. Three years experience in the managed health care industry. License/Certification: Must have and maintain current, valid and unrestricted RN or CPC license. For Medical Affairs postings, current, valid and unrestricted RN and CPC licenses will be requiredPay 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

Medical Policy  Analyst

<h3> Position Summary </h3> S&amp;T | US Innovation | Senior Manager | Innovation Strategy Are you passionate about innovation, finding creative ways to solve business challenges, and making an impact that matters in the marketplace? Do you have significant experience operating in high-growth markets, building new businesses and serving as a leading expert in your field? If you are interested in pushing boundaries, developing and testing new ground-breaking capabilities and thinking, and powering purposeful progress, Deloitte’s US Innovation may be the place for you! Recruiting for this role ends on April 2, 2025 Work You’ll Do US Innovation is focused on the following priority activities… <ul> <li>Working hand-in-hand with clients and client teams to identify new opportunities in emerging market areas, including developing incubation toolkits, assessing markets, identifying business opportunities, shaping client pilots, scoping/managing investments </li> <li>Launching market and client-facing programs that create differentiated experiences and scale innovation for top-tier clients, including new client engagement strategies, methodologies and investments to improve engagement and elevate our innovation brand </li> <li>Researching and developing thought leadership (and associated activation toolkits) on emerging technology applications and innovation best practices that builds Deloitte’s innovation brand, generates market interest and identifies new client opportunities/engagements </li> </ul> As the Senior Manager, Innovation Strategy, you will define investment priorities for our high-potential new businesses in collaboration with cross-functional business leaders and spearheading execution of these investments. You will be responsible for standing up fast moving, high functioning teams bringing together capabilities from across businesses and enabling areas such as design, engineering, marketing, industry, and emerging technology teams. You will be on the vanguard of emerging technology, new business incubation, and proactive new market development. Additional responsibilities include: <ul> <li>Lead multiple emerging business priorities, from defining market opportunities to developing investment hypothesis and leading execution of initiatives spanning ecosystem creation, eminence development, asset &amp; solution design, to in-market activation. </li> <li>Lead the development of new and alternative Deloitte offerings and solutions, including the creation of comprehensive business models, go-to-market strategy, monetization options, ecosystem activation and opportunities to pilot/co-invest with clients </li> <li>Lead market-facing programs and active client engagements that build the Deloitte innovation brand, grow client innovation capabilities, ascertain emerging client needs and/or test the value/feasibility of new Deloitte solutions</li> <li>Identify and drive the development of market-facing thought leadership that showcase Deloitte’s innovation successes and bring thought-provoking perspectives to emerging markets </li> <li>Incorporate leading practices to drive faster development of high-impact market-led hypothesis, solution ideation and prioritization, and stakeholder alignment. </li> <li>Use quantitative and qualitative data for strategy development, execution and ongoing management of initiatives (e.g., market analysis, competitive assessment, investment thesis and define investment KPIs). </li> <li>Facilitate ideation, understanding of client needs / pain points, solution requirements, prototype development, and ongoing roadmap management. </li> <li>Analyze and evaluate vendor technologies to determine opportunities for new relationship development. </li> <li>Co-develop and deliver workshops for internal and external stakeholders, working with cross-business leaders. </li> <li>Maintain and leverage strong knowledge of general business and technology concepts, market dynamics, and emerging technology.</li> <li>Manage cross-business relationships to ensure effective investment execution across a portfolio of investments. </li> </ul> The Team Deloitte’s US Innovation team is focused on building the future – for our business, our clients, and emerging markets. We collaborate with experts across Deloitte functions, alliances, academics, startups, venture capitalists and beyond to create compelling visions for the future and activating new ideas for how to make that future a reality. If you live by a growth mindset and want to work with a collaborative team committed to pushing boundaries, leading thinking, and applying it for impact, this could be the team for you! Qualifications Required: <ul> <li>Bachelor's degree</li> <li>8+ years’ experience in management consulting or innovation including strategy/innovation experience with a premier management consultancy, seasoned client experience, client workshop execution, business case development, innovation investment management</li> <li>Strong background in supporting the development of emerging businesses (market research/analysis, sales/marketing materials, project plans, service architecture frameworks)</li> <li>Experience developing, authoring and presenting thought leadership and other eminence materials (e.g., whitepapers, immersive experiences, solution demonstrations) with clients and the broader market</li> <li>Demonstrated capability in empowering innovation practices (teaming with ecosystems, using new tech tools, developing data-driven insights, developing materials labs/workshops/hackathons)</li> <li>Deep understanding and familiarity with emerging technology (e.g., AI, blockchain, XR, digital twins), including development of practical business applications</li> <li>5+ years’ experience managing/coaching teams</li> <li>Familiarity leveraging GenAI tools in process workflows</li> <li>Limited travel (up to 10% of travel may be necessary for the role).</li> <li>Limited immigration sponsorship may be available</li> </ul> Preferred: <ul> <li>Master’s degree or higher</li> <li>Prior experience operating and serving in prominent leadership positions in markets and industries that are growing and/or evolving rapidly</li> <li>Prior experience designing, developing and launching new businesses and/or startups</li> <li>Prior experience leading in-depth market analysis, due diligence and the development of published market reports and/or PoVs (including, but not limited to, work with venture capital, private equity, other financial services, research institutions, premier management consultancies)</li> </ul> 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 $143,300 to $265,600. 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. 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> EA_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 diverse, equitable, and 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. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/deloitte-inclusion.html" target="_blank">Learn more about our inclusive culture.</a> 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

Strategy & Technology | US Innovation | Senior Manager | Innovation Strategy

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Collaborates with the business and technology stakeholders to translate high-level claims business requirements into functional and non-functional technical requirements that will be used by the design and development teams to build the technical solutions that fulfills the business needs.<ul> <li>Gathers and validates business / technology requirements to establish scope and parameters of requirements and define project impact, outcome criteria, and metrics</li> <li>Analyzes and verifies requirements for completeness, consistency, comprehensibility, feasibility, and conformity to standards</li> <li>Translates conceptual user requirements into functional requirements in a clear manner that is comprehensible to developers / project team</li> <li>Creates systems and business process models, specifications, diagrams, and charts to provide direction to developers and/or the project team</li> <li>Interprets user requirements into feasible options and communicate these back to the business stakeholders</li> <li>Manages and tracks the status of requirements throughout the project lifecycle; enforce and redefine as necessary</li> <li>Communicates changes, enhancements, and modifications of business requirements to project managers, sponsors, and other stakeholders so that issues and solutions are understood</li> <li>Plans and coordinates user acceptance testing (UAT)</li> <li>Monitors and review levels of IT services specified in the service-level agreements (SLAs) with the business</li> <li>Research, reviews, and analyzes the effectiveness and efficiency of existing requirement gathering processes and develop strategies for enhancing or further leveraging these processes; quantify potential efficiency opportunities and track accordingly</li> <li>Maintains system protocols by writing and updating procedures</li> <li>Provides references for users by writing and maintaining user documentation; provide help desk support; train users</li> <li>Prepares technical reports by collecting, analyzing, and summarizing information and trends</li> <li>Involved in clarifying requirements and implementing solutions that meet the business needs</li> <li>Documents business requirements and potential solutions for system functionality and reporting needs</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. Technical Skills:<ul> <li>One or more of the following skills are desired.</li> <li>Claims</li> <li>X12</li> <li>837</li> <li>Waterfall</li> <li>Business Requirements Documents/BRDs</li> <li>Flow Charts</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>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 Business Systems Analyst

<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

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 SummaryThe Analyst will develop test plans, test cases and test scripts for projects, among other assigned duties. The Analyst will perform testing on various software and reporting systems. The Analyst will work closely with PA Admin and Medicare Operations to test and validate the utilization management (UM) criteria, decision trees, drug lists, and letters that are loaded and functioning properly in the PA (MHK) system. Also, the analyst will be responsible for configuration quality control, code testing and test case writing. Additional responsibilities: include ensuring the quality of PA Admin products for internal/external business users by testing cases and doing regression testing. As a Analyst developing and executing formal test plans to ensure the delivery of quality software and to ensure that all information systems products and services meet minimum organization standards and end-user requirements. Required Qualifications- 1 plus years of quality assurances or software testing - 5 plus years Software knowledge (MS Office Suite including Access and Project) - Verbal Communication Skills Preferred Qualifications- PBM Knowledge- Written Communication Skills - Analytical Skills - Ability to work in teams or independent - Time Management skills - Medicare Knowledge - Able to thrive in time sensitive situations EducationBachelor’s degree or Equivalent work experienceAnticipated 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: 03/22/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Analyst - Clinical Services

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 SummaryAs a Senior Analyst, you will be responsible for using SQL, SAS, Tableau, MS Access, MS Excel, and related applications to determine disruption to existing and potential clients when network changes take place to retain and win business. This position involves making high-level decisions, managing multiple requests/priorities, developing new solutions to simplify the reporting process, and producing both standard and custom reports for multiple lines of business and specific clients regarding retail pharmacy network accessibility.Key Responsibilities:Data Management: Build queries, perform data imports and extracts, analyze data, compare networks, and create reports to support network disruption requests from internal customers (including Sales, Account Management, Membership Initiatives, Network Development, and Retail Analysis areas).Network Strategy Support: Support network strategies and initiatives through analytics reporting to project network disruption in various scenarios.Collaboration: Collaborate with team members on reporting initiatives and projects surrounding network disruption.Cross-Team Interaction: Attend meetings with Sales/Proposals and Network Disruption team leadership to clarify any custom requests from external consultants. Required Qualifications- 4 years previous work experience in Network Management or similar role.- Proficiency in SQL, SAS, Tableau, MS Access, MS Excel, and other relevant applications.- Strong analytical and problem-solving skills with the ability to interpret complex data sets.- Excellent verbal and written communication skills to effectively interact with internal teams and external clients.- Ability to manage multiple requests and priorities in a fast-paced environment. Preferred Qualifications- Working experience in the Pharmacy Benefits Management (PBM) or related healthcare industry. EducationBachelor's Degree in Computer Science, Information Technology, Data Analytics, or a related field or equivalent work experience. Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $91,800.00This 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.

Senior Analyst, Network Disruption

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 The Analyst will develop test plans, test cases and test scripts for projects, among other assigned duties. The Analyst will perform testing on various software and reporting systems. The Analyst will work closely with PA Admin and Medicare Operations to test and validate the utilization management (UM) criteria, decision trees, drug lists, and letters that are loaded and functioning properly in the PA (MHK) system. Also, the analyst will be responsible for configuration quality control, code testing and test case writing. Additional responsibilities: include ensuring the quality of PA Admin products for internal/external business users by testing cases and doing regression testing. As a Analyst developing and executing formal test plans to ensure the delivery of quality software and to ensure that all information systems products and services meet minimum organization standards and end-user requirements. Required Qualifications - 1 plus years of quality assurances or testing - 5 plus years Software knowledge (MS Office Suite including Access and Project) Preferred Qualifications - PBM Knowledge - Analytical Skills - Ability to work in teams or independent - Time Management skills - Medicare Knowledge - Able to thrive in time sensitive situations - Written and Verbal Communication Skills - IT certification Education Bachelor’s degree or Equivalent work experience 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.

Analyst, Clinical Services

Technical Leader - Machine Automation<h2>Job Description</h2>You’re not the person who will settle for just any role. Neither are we. Because we’re out to create Better Care for a Better World, and that takes a certain kind of person and teams who care about making a difference. Here, you’ll bring your professional expertise, talent, and drive to building and managing our portfolio of iconic, ground-breaking brands. In this role, you’ll help us deliver better care for billions of people around the world. It starts with YOU. This position provides strategic leadership for automation projects which will impact various locations in the North America Supply Chain. You will partner with the other team members within staff and the mills, along with working closely with our vendors and suppliers. This role will help define the on-machine automation strategy and lead the implementation of Automation solutions for our key supply chain opportunity areas in distribution, manufacturing, and in-process and on-machine solutions.In this role, you will:<ul> <li>Carry out all job responsibilities in a safe manner; set the example for others in the area of safety. Develop equipment and processes that meet safety codes, policies and guidelines. Provide for the safety and well-being of operators, reliability, and other personnel.</li> <li>Support the development of the NA SC automation strategy.</li> <li>Support Appropriation definition and execution for Automation implementation across the North American Supply Chain.</li> <li>Develop knowledge of Automation systems to support implementation and act as a SME for new systems. You will be accountable to share and expand that knowledge throughout the enterprise.</li> <li>Collaborate with Mill, Staff, Vendors, Contractors, and other KCNA/Global facilities in developing and rolling out Automation solutions for on-machine production and material delivery challenges across the supply chain.</li> <li>Lead design discussions with Mill and Central teams to review Scope, obtain alignment and feedback – Engineering, Operations, Maintenance, Logistics, EHS, IT</li> <li>Convert automation innovations into tangible business outcomes and cost savings to acquire support for implementation.</li> </ul>About Us Huggies®. Kleenex®. Cottonelle®. Scott®. Kotex®. Poise®. Depend®. Kimberly-Clark Professional®. You already know our legendary brands—and so does the rest of the world. In fact, millions of people use Kimberly-Clark products every day. We know these amazing Kimberly-Clark products wouldn’t exist without talented professionals, like you. At Kimberly-Clark, you’ll be part of the best team committed to driving innovation, growth and impact. We’re founded on more than 150 years of market leadership, and we’re always looking for new and better ways to perform – so there’s your open door of opportunity. It’s all here for you at Kimberly-Clark. Led by Purpose. Driven by You. About You You perform at the highest level possible, and you appreciate a performance culture fueled by authentic caring. You want to be part of a company actively dedicated to sustainability, inclusion, wellbeing, and career development. You love what you do, especially when the work you do makes a difference. At Kimberly-Clark, we’re constantly exploring new ideas on how, when, and where we can best achieve results. When you join our team, you’ll experience Flex That Works: flexible (hybrid) work arrangements that empower you to have purposeful time in the office and partner with your leader to make flexibility work for both you and the business. In one of our professional roles, you’ll focus on winning with consumers and the market, while putting safety, mutual respect, and human dignity at the center.To succeed in this role, you will need the following qualifications: <ul> <li>Position requires a bachelor’s in engineering and 10+ years of equivalent related experience</li> <li>Expertise in Electrical Engineering, Mechanical Engineering, Process Engineering or Mechatronics with a demonstrated ability to translate that knowledge into execution of process and capacity improvements in capital or expense projects. </li> <li>Incumbent should have a demonstrated history of proven performance in delivery of objectives and Ways of Working</li> <li>Incumbent should be able to work collaboratively and effectively with individuals across all levels of the organization</li> <li>Incumbent should have the ability and flexibility to work in a manufacturing environment with a 24/7 operation</li> <li>Incumbent should be flexible to travel up to 25% as dictated by business need for meetings, machine install or start-up support, benchmarking, or best practice sharing across North America.</li> </ul>Preferred:<ul> <li>15+ years of experience in a combination of engineering, operations, and/or leadership</li> <li>Familiarity with Diaper/Personal Care manufacturing technologies</li> <li>Demonstrated development of novel technologies and solving production challenges with innovative solutions.</li> <li>Experience with Automation technologies and/or experience with Automated Guided Vehicles</li> <li>Experience in robotic solutions</li> <li>Familiarity with capital project management, equipment installations and start-ups</li> <li>Evidence of continuing self-development</li> </ul>Total BenefitsHere are just a few of the benefits you’d enjoy working in this role for Kimberly-Clark. For a complete overview, see <a href="http://www.mykcbenefits.com/" target="_blank">www.mykcbenefits.com</a>. Great support for good health with medical, dental, and vision coverage options with no waiting periods or pre-existing condition restrictions. Access to an on-site fitness center, occupational health nurse, and allowances for high-quality safety equipment.Flexible Savings and spending accounts to maximize health care options and stretch dollars when caring for yourself or dependents.Diverse income protection insurance options to protect yourself and your family in case of illness, injury, or other unexpected events.Additional programs and support to continue your education, adopt a child, relocate, or even find temporary childcare.To Be Considered Click the Apply button and complete the online application process. A member of our recruiting team will review your application and follow up if you seem like a great fit for this role.In the meantime, please check out the <a href="https://www.careers.kimberly-clark.com/en/our-careers/career-areas" target="_blank">careers website</a>.And finally, the fine print…. For Kimberly-Clark to grow and prosper, we must be an inclusive organization that applies the diverse experiences and passions of its team members to brands that make life better for people all around the world. We actively seek to build a workforce that reflects the experiences of our consumers. When you bring your original thinking to Kimberly-Clark, you fuel the continued success of our enterprise. We are a committed equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, age, pregnancy, genetic information, citizenship status, or any other characteristic protected by law. The statements above are intended to describe the general nature and level of work performed by employees assigned to this classification. Statements are not intended to be construed as an exhaustive list of all duties, responsibilities and skills required for this position. Employment is subject to verification of pre-screening tests, which may include drug screening, background check, and DMV check. Salary Range: $128,000 – $158,000 USD At Kimberly-Clark, pay is just one aspect of our total rewards package, which also includes a variety of benefits and opportunities to achieve, thrive and grow. Along with base pay, this position offers eligibility for a target bonus and a comprehensive benefits suite, including our 401(k) and Profit-Sharing plan. The anticipated base pay range for this role is provided above for a fully qualified hire. Actual pay will depend on several factors, such as location, role, skills, performance, and experience. Please note that the stated pay range applies to US locations only. Veterans and members of the Reserve and Guard are highly encouraged to apply. #LI-Hybrid<h2>Primary Location</h2>Neenah - West Office Facility 1<h2>Additional Locations</h2>Beech Island Mill, Berkeley Mills, Jenks Mill, LaGrange Mill, Loudon Mill, Marinette Mill, Mobile Mill, New Milford Mill, Ogden, Owensboro Mill<h2>Worker Type</h2>Employee<h2>Worker Sub-Type</h2>Regular<h2>Time Type</h2>Full time

Kimberly-Clark Corporation

Technical Leader - Machine Automation

<h3> Position Summary </h3> Are you interested in working in a dynamic environment that offers opportunities for professional growth and new responsibilities? Are you interested in helping clients drive alignment with their business, improve organizational and human resource performance and establish a culture focused on adding business value? That is what the new generation of human resource transformation is all about. If you are seeking a role that offers you the opportunity to advise Government and Public Services (GPS) clients through critical and complex issues, while allowing you to develop personally and professionally, consider a career in Deloitte’s Human Capital practice. Recruiting for this role ends on April 30th, 2025. Work You'll Do As a UKG WFM Pro Configuration Support Senior Analyst, you will: <ul> <li>Support the documentation of requirements, configuration and testing of the UKG WFM Pro application</li> <li>Work in the full lifecycle of a UKG WFM Pro project or workstream including business analysis, functional specification, system configuration, design, testing</li> <li>Work with the team in requirements gathering, workshops or facilitating client meetings </li> </ul> The team Deloitte’s Government and Public Services (GPS) practice – our people, ideas, technology and outcomes—is designed for impact. Serving federal, state, &amp; local government clients as well as public higher education institutions, our team of over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise. The HR Transformation offering (HRT) transforms the way HR enables the business and the workforce. In this world of disruption, we believe that HR has an opportunity to take the lead and own enterprise-wide issues for the organization. From the creation of HR strategy using our leading Oracle-enabled HR Transformation labs, the application of design thinking that allows HR to challenge how work gets done today, to navigating the ever-evolving HR technology landscape to determine the right digital solutions to enable transformation, our HR Transformation practice is focused on helping HR take the lead. Qualifications Required: <ul> <li>2+ years of consulting or industry experience delivering Workforce Management (WFM) solutions</li> <li>Knowledge of UKG WFM configurations and best practices</li> <li>Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future</li> <li>Must be able to obtain and maintain the required security clearance</li> <li>Bachelor’s degree</li> </ul> Preferred: <ul><li>UKG Workforce Central 8.1 and UKG Pro WFM Certified</li></ul> 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 $77,000 to $143,000. 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. 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> 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-usdc.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our diverse, equitable, and 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. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/deloitte-inclusion.html" target="_blank">Learn more about our inclusive culture.</a> 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.

UKG WFM Pro Configuration Support Senior Analyst

<h3> Position Summary </h3> Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Blood Bank Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you’ll do/Responsibilities <ul> <li>Responsible for Epic software analysis, design, configuration, testing, and implementation as well as application support and issue resolution</li> <li>Interacts with Operational and IT personnel in identifying, evaluating and configuring systems to meet user and organizational requirements</li> <li>Maintains high credibility and ownership of system activities within assigned application</li> <li>Works directly with Operations and provides input on system design and capabilities</li> <li>Develops system design, including functional specifications and strategies, based upon the analysis of specific operational needs</li> <li>Analyze operational requirements and system capabilities to propose effective solutions</li> <li>Understand workflow practices and how to apply to system configuration in support of Operational/IT strategies, issues, and priorities</li> <li>Performs unit, system, and integration testing per standards and documents outcomes</li> <li>Work with Application Team to ensure applications are well supported and implementations are properly executed</li> <li>Follow defined standards, promote best practice principles, and participate in change control process</li> <li>Optimizes, maintains and supports application/system as required</li> <li>Participates effectively as a team member to achieve team goals and objectives</li> <li>Provides on-call support, troubleshoots and resolves production support issues during Activation as applicable</li> <li>Initiates escalation procedures</li> <li>Identify potential issues and refer more complex issues to appropriate level of support</li> <li>Builds rapport and always promotes teamwork by maintaining a professional and positive attitude, working to maintain open and professional lines of communication with all end users and colleagues, and utilizing key change management principles</li> <li>Lead meetings as needed, prioritize tasks, resolve conflicts and manage a project plan</li> <li>Meet application deliverables, project timelines, and delivery weekly status reporting</li> <li>Timely project and data tracking with input of weekly time tracking</li> <li>Performs other related duties assigned by supervisor</li> <li>In an emergency, performs other duties necessary for the welfare of patients or the efficient operations of the institution</li> </ul> The Team Operations and Technology Transformation delivers market leading expertise and industry depth by harnessing deep sector knowledge, scaling the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, design, implement, and deploy innovative and technology enabled solutions focused on “heart of the business” issues in specific sectors including Health Care &amp; Life Sciences, Digital Banking &amp; Payments, Investment &amp; Wealth Management, Insurance, Telecom, Media and Energy &amp; Resources. Our OTT team brings clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry—and apply them with a process and mindset that tailors transformational change to their specific organization. Qualifications Required <ul> <li>Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience</li> <li>5+ years of recent experience with an implementation</li> <li>Must have a current Epic Beaker certification</li> <li>Experience with SafeTrace or SCCLab</li> <li>Experience in application build and go-live, along with extensive experience in implementation, workflows, troubleshooting, testing, and support</li> <li>Demonstrative understanding of technical documentation</li> <li>Limited immigration sponsorship may be available</li> <li>Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve</li> </ul> Preferred <ul> <li>Strong desktop skills including Word, Excel, PowerPoint</li> <li>Work Experience/Direct Knowledge of clinical area or business area to be supported</li> <li>Analytical ability to manage multiple projects and prioritize tasks into manageable work products</li> <li>Can operate independently or with minimum supervision</li> <li>Excellent Written and Communication Skills</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> 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-usdc.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our diverse, equitable, and 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. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/deloitte-inclusion.html" target="_blank">Learn more about our inclusive culture.</a> 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.

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