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<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.

Deloitte

Technology | PxE HXM | SuccessFactors Functional Engineer

<h3> Position Summary </h3> Learning and Development (L&amp;D) Project Lead Specialist The Talent Innovation and Solutions Digital &amp; Analytics team implements and supports core, firmwide Talent applications leveraged to support key Talent strategies and processes. As Talent identifies opportunities to transform the way we deliver services, technology solutions will need to be implemented or updated to provide an enhanced experience to our professionals and to drive operational efficiency and effectiveness improvements across Talent. We are seeking a motivated and organized team member to join our team, focusing on Talent project activities and systems that are part of the Growth &amp; Development portfolio. As a Lead Specialist, you will directly support and manage various aspects of planning and deploying technical programs and projects across multiple client projects/engagements. You will ensure the successful implementation of vendor and/or custom solutions, adhering to project timelines and budget constraints. Additionally, you will provide strategic direction and business guidance to Talent stakeholders and technical teams, while supervising and coordinating team efforts to execute project plans throughout the program or project lifecycle. Recruiting for this role ends on March 14th, 2025. Work you’ll do As the our Lead Specialist, you will: <ul> <li> Project Management: <ul> <li>Lead up to two concurrent project implementations while supporting up to three live systems/projects in post-deployment activities.</li> <li>Plan, schedule, estimate, forecast, coordinate, and manage the delivery of all project deliverables and related initiatives.</li> <li>Define technical requirements for new initiatives/projects, ensuring compliance with firm standards and security protocols.</li> <li>Understand, assess, and review business issues, translating them into technical terminology for discussions with Deloitte Technology and support teams.</li> <li>Monitor and report on the status of project efforts, lead project status activities, and proactively manage project issues and risks (RAID log). Propose recommendations and solutions to resolve potential conflicts and risks.</li> </ul> </li> <li> Training and Documentation: Conduct training sessions on system/project-related topics and collaborate with stakeholders and support teams to update current documentation.</li> <li> PMO Support: Support the Talent Innovation and Solutions Digital &amp; Analytics Manager as the PMO Lead for various operations activities and technology projects as applicable.</li> <li> Resource Management: Utilize shared project team sites, OneNote notebooks, Smartsheet, and mailboxes to ensure structured communication and access to materials and documents for all project team members.</li> </ul> Required Qualifications <ul> <li>Bachelor’s Degree</li> <li>Minimum of 6 years of relevant experience with project management support to implement new Talent systems and processes, from ideation thru deployment</li> <li>Proficient Microsoft Office skills (e.g., PowerPoint, Excel, OneNote, Word, Teams); Knowledge of relevant applications and development life cycles</li> <li>Ability to travel 5%, based on the work you do and the clients and industries/sectors you serve</li> <li>Limited immigration sponsorship may be available</li> </ul> Preferred Qualifications <ul> <li>Knowledge of Learning and Development (L&amp;D) technologies</li> <li>Knowledge of the professional services industry</li> <li>PMP certification</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 $88,600- $163,100. 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 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.

Learning and Development Project Lead Specialist

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Customer Service RepresentativeJob Description<ul> <li>You will work in front of a computer for approximately 8 hours speaking with members on the phone with little time in between calls during your scheduled phone hours. </li> <li>There is no standard scripting for this position. You will listen to the member’s needs and provide direction on how to get them the care they may need. </li> <li>We want you to create an emotional connection with our members by understanding and engaging the member to the fullest. We want you to fully understand the member’s needs by building a trusting and caring relationship with the member.</li> <li>That includes going beyond the initial inquiry and asking the unasked question to the member to ensure you are providing the most complete customer service experience that you can for our members.</li> <li>Provide the customer with related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc.</li> <li>Educates and assists customers on various elements of benefit plan information and available services created to enhance the overall customer service experience with the company (i.e., assistance with member self-service tools, Consultation Opportunities – Simple Steps, Cost of Care Tools, Natural Alternatives Program, etc.).</li> <li>Utilizes all relevant information to effectively influence member engagement.</li> <li>Provides education to members to support them in managing their health.</li> <li>Guides members to the appropriate health resource. Offers alternatives where appropriate .</li> <li>Acts with the best interest of customer in mind and central to all interactions.</li> <li>Documents and tracks all contacts, events, and outcomes with members using appropriate systems and processes.</li> <li>Takes immediate action when confronted with a problem or made aware of a situation.</li> <li>Resolves issues without or with limited management intervention.</li> <li>Uses customer service threshold framework to make financial decisions to resolve member issues.</li> <li>Responds quickly to meet customer needs and resolve problems while avoiding over-committing.</li> <li>Other activities may include: providing claim status information, benefit coverage interpretations, and explaining plan eligibility.</li> <li>Processes claim referrals, new claim hand-offs, and escalates issues as appropriate through the system for grievances and appeals.</li> <li>Initiates out-reach/welcome calls to ensure constituents expectations are met or exceeded.</li> <li>Identifies trends and any emerging customer service issues and works to develop solutions to address potential problems and/or plan features of interest as an approach to improve understanding of benefit plans and increase post-enrollment member satisfaction.</li> <li>Coordinates efforts both internally and across departments to successfully resolve service issues and develop process improvement intended to enhance the overall delivery of service.</li> <li>Partners with other departments to deliver client specific presentations.</li> <li>Works collaboratively with colleagues to deliver the best customer experience.</li> <li>Appropriately transitions conversations to explore possibilities for extending customer interactions.</li> <li>Collaborates with colleagues and co-workers to deliver a world class customer experience.</li> <li>Serves as SME providing technical assistance when needed on call related issues, products, and/or system applications delivery matters.</li> <li>May participate in preparation and presentation of client specific presentations.</li> <li>May track and trend data. Coaches, trains and assists in the development of call center staff, as required.</li> <li>Participates in and/or leads special projects/initiatives addressing service issues, as necessary.</li> <li>Provides technical or subject matter expertise concerning policies, procedures, and function-related applications/systems tools as needed.</li> </ul>Required Qualifications:<ul> <li>Must live in and work Eastern Standard Time Zone </li> <li>Must be flexible to work an 8 hour shift between 8am and 8pm EST</li> <li>Customer Service experience in a transaction based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate.</li> <li>1+ year of Microsoft Office Suite Experience</li> <li>Must have experience working multiple screens and applications.</li> <li>Effective organizational skills and ability to manage multiple tasks.</li> <li>Effective communication skills, both verbal and written</li> </ul>Education:<ul><li>High School Diploma Required</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $25.65This 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 03/14/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Customer Service Representative

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryThis is a full-time telehealth role within the US. Must reside in a compact state and hold a compact license. Hours Monday-Friday EST working 3 day shifts and 2 evening shifts a per weekEvening hours end at 9:00 PM EST Rotating 5 hour shifts on Saturdays will be required per business needs approximately quarterlyRotating Friday evening until 9:00 PM EST approximately quarterlyJob Descriptions The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status. - Assessment of Members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services. - Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change.Enhancement of Medical Appropriateness &amp; Quality of Care: - Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs. - Using holistic approach consults with supervisors, Medical Directors and/or others to overcome barriers to meeting goals and objectives. - Identifies and escalates quality of care issues through established channels. - Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. - Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. - Interprets and utilizes clinical guidelines/criteria to positively impact members health Provides up-to-date healthcare information to help facilitate the member¡¦s understanding of his/her health status. - Helps member actively and knowledgably participate with their provider in healthcare decision-making.Monitoring, Evaluation and Documentation of Care - Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals. - Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines. Required Qualifications - Must have an unrestricted compact license in the state of residence with ability to apply for and obtain additional licenses required per account needs - 3+ years of Adult Medical Surgical experience in a hospital or clinic setting - Must possess/be willing and able to obtain high speed internet access and be hardwired to internet - 1+ years of experience documenting in Electronic Medical Records Preferred Qualifications- Previous telephonic or face to face health coaching experience - Previous Managed Care experience - Experience with Microsoft Word, Outlook, Excel products- Experience using multiple digital applications simultaneously, while conducting assessment interviews and documenting member responses- Experience using Epic EducationAssociate or Bachelor’s degree requiredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,095.00 - $116,760.00This 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 03/13/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

RN - Registered Nurse - Health Coach Consultant - Chronic Conditions

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryAetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home.This role can be remote based anywhere in the US.The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty, including post-graduate direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs across the continuum of care. In this role you'll support the Medical Management staff ensuring timely and consistent responses to members and providers. You will lead all aspects of utilization review/quality assurance, directing case management. In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities You'll act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams In addition, you will be responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Required Qualifications* 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.* Active and current state medical license without encumbrances* M.D. or D.O.,Board Certification in Cardiology specialty including post-graduate direct patient care experience specifically Preferred Qualifications * Previous healthcare insurance experience. Education * M.D. or D.O.,Board Certification in a Cardiology specialty.Pay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00 This 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. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 05/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Director - (Cardiology)

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: Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included. <ul><li>Recruit and develop network for a region and set of providers</li></ul> <ul><li>Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives</li></ul> <ul><li>Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication</li></ul> <ul><li>Initiate contact and identify potential providers by geographic and specialty needs and update database</li></ul> <ul> <li>Coordinate with internal departments and contracted providers to implement and maintain contract compliance</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 Healthcare Administration, Business Administration, Finance, related field or equivalent experience. 0-2 years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician’s office or group setting. Familiarity with State and/or Federal health care programs preferred (Medicaid, Medicare).Pay Range: $55,100.00 - $99,000.00 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

Centene Corporation

Contract Negotiator I

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: Integrates, conforms, profiles and maps complex data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs.<ul> <li>Interprets and analyzes complex data from multiple sources including claims, provider, member, and encounters data. Proactively identifies and assesses the business impact of trends</li> <li>Develops, executes, maintains, and troubleshoots complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools</li> <li>Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers</li> <li>Manages multiple complex and variable tasks and data review processes with no supervision within targeted timelines and succeeds in a demanding, quickly changing environment</li> <li>Delivers business solution architecture and implementation validation</li> <li>Engages in data profiling and source to target mapping.</li> <li>Works on complex data integration from disparate sources.</li> <li>Applies senior level expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products</li> <li>Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners</li> <li>Engages with customers and business partners to gather requirements and validate results</li> <li>Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required</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:One or more of the following skills are desired.<ul> <li>Experience with SQL (Programming Language); Snowflake platform; Python (Programming Language)</li> <li>Experience with Agile Software Development</li> <li>Experience with PowerBI</li> <li>Experience with Healthcare, HEDIS</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: $73,800.00 - $132,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Sr Data Analyst - PowerBI

<h3> Position Summary </h3> 191538NetSuite Implementation Consultant Digital Customer is collaborating with clients in ways never thought possible before. We are creating, developing, designing and implementing in ways that will change the digital landscape forever. Our Digital Customer strategy is to help clients define strategies, build brands, create experiences, and deliver platforms. Work you’ll do A Consultant at Deloitte works within an engagement team and is responsible for identifying business requirements, requirements management, functional design, prototyping, process design (including scenario design, flow mapping), testing, training, defining support procedures, leading work streams and supporting implementations. Implement and deploy NetSuite solutions: <ul> <li>Working within an engagement team, a Senior NetSuite Consultant is responsible for identifying business requirements, requirements management, functional design, prototyping, process design (including scenario design, flow mapping), testing, training, defining support procedures, leading work streams and supporting implementations</li> <li>Provide NetSuite consulting expertise utilizing industry experience, business analysis, best practices and a pragmatic mindset to facilitate clients’ most complex requirements.</li> <li>Implement and deploy NetSuite solutions accommodating unique industry business and management processes, regulatory requirements and other business requirements.</li> <li>Create functional requirements as an input to application design.</li> <li>Build, develop and test detailed functional designs for business solution components and prototypes.</li> <li>Drive test planning, execution, and optimization support.</li> <li>Conduct business process mapping and requirements gathering sessions with new customers to determine configuration requirements both on-site and remote.</li> <li>Prepare Business Requirements and Technical Scoping Documents resulting from the above noted mapping sessions to provide proposed solutions for the requirements for customer approval.</li> <li>Build, develop and test detailed scripted customized solutions and prototypes.</li> <li>Troubleshoot issues that arise during configuration sessions.</li> <li>Provide on-going post implementation support to optimize user adoption and NetSuite configuration.</li> </ul> The team Digital Customer Our Digital Customer team focuses on designing and implementing sales and service experiences, capabilities, and architectures to bring customer strategies to life. Our ambition is to be the best in the world at driving customer transformation through the development of clever commercial strategies, distinctive experiences, and the application of digital technologies. We help make the “creative digital consultancy” real and in doing so, make new markets. Professionals will serve our clients through the following types of work: <ul> <li> Customer Operations | modernize, deploy, and operate office capabilities and business processes across sales operations, quote-to-cash, and revenue management team</li> <li> Sales Excellence &amp; Service Excellence | Integrate the latest technologies with leading-edge strategies, insights, experiences, and talent to enable outstanding customer service</li> <li> Salesforce | Deloitte unleashes the powerful Salesforce platform for our clients to drive the best possible outcomes and redefine engagement. We innovate like never before by creatively using technology to help enhance digital customer and employee experiences for our clients.</li> </ul> Qualifications Required <ul> <li>Bachelor's Degree or equivalent experience</li> <li>3+ years of relevant consulting or industry experience</li> <li>2+ years of experience with NetSuite ERP implementations</li> <li>Ability to travel up to 50% on average, based on the work you do and the clients and industries/sectors you serve </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>Limited immigration sponsorship may be available </li> </ul> Preferred <ul> <li>Experience with NetSuite integrations and customizations</li> <li>A Certified NetSuite Professional</li> <li>Experience with full life cycle NetSuite implementations</li> <li>Bachelor's or Advanced degree in accounting, business, finance or other business-related field, computer science, information systems, or other technology-related field</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 $97,875 to $163,125. 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. #Customer_US #SS_US Requisition code: 191538 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.

NetSuite Implementation Consultant

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryUtilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.<ul> <li>Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li> <li> Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care</li> <li>Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs</li> <li>Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization</li> <li>Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.</li> <li>Typical office working environment with productivity and quality expectations.</li> <li>Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.</li> <li>Sedentary work involving periods of sitting, talking, listening.</li> <li>Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.</li> <li>Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.</li> <li>Effective communication skills, both verbal and written</li> </ul>Required Qualifications - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active current and unrestricted RN licensure in state of residence- Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications - 2+ years of clinical experience required in med surg or specialty area - Managed Care experience preferred, especially Utilization Management- Preference for those residing in EST zones Education:<ul> <li>Associate Degree required</li> <li>BSN preferred</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$26.01 - $56.14This 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 03/14/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Utilization Management Nurse Consultant

<h3> Position Summary </h3> Workforce Analytics Today’s disruptive environment calls for a different mindset and a new approach to drive organizational performance and enhance human capital development. Deloitte Workforce Analytics brings that insight through data and analytics to help our clients find signals in the noise and align workforce actions with business outcomes. With our HR domain breadth and industry depth, we bring hands-on experience in people analytics, workforce listening and analytics, and market sensing. Recruiting for this role ends on 6/30/2025. Work you’ll do As a Visier People Analytics Senior Consultant, you will engage with clients to advance their people analytics capabilities across strategy, people, process, data and technology and to help them to deliver business-driven, actionable people insights across work, workforce and workplace topics (e.g., DEI, attrition, mobility, future of work, talent acquisition, compensation, performance management, etc.). You’ll work with an experienced team to help organizations navigate the future with confidence, embracing decision-making with clear, data-driven insights. Depending on your passion, capability, and experience your project work could include the following: <ul> <li>Conduct current state assessments or discoveries to understand client people analytics maturity, synthesize findings, and communicate key themes.</li> <li>Lead and support the development of a client's people analytics vision, strategy, operating model, and roadmap for scaling people analytics.</li> <li>Utilize Human Capital Management (HCM), people analytics, or enterprise and BI platforms to design, build, test and deploy reports, dashboards, data visualizations, and predictive models based on project requirements.</li> <li>Assist with end-to-end data and analytics processes, including cleansing and wrangling structured and unstructured data, designing, and building analytics and models, extracting insights and findings, visualizing outputs, and communicating outcomes to the client and other stakeholders.</li> <li>Leverage quantitative and qualitative data and analytics methods to analyze client data across HR and people analytics focus areas.</li> <li>Define top client business questions and challenges by conducting client interviews, synthesizing findings, and identifying key themes coming out of discovery work and client communications.</li> <li>Develop data visualizations that highlight key insights to help clients make informed business decisions related to human capital issues and communicate these insights to relevant stakeholders.</li> <li>Engage, communicate, and build relationships with internal and external stakeholders across geographies—both national and international—on both technical and non-technical people analytics topics.</li> </ul> Required Qualifications: <ul> <li>Bachelor’s degree</li> <li>4+ years of hands-on experience in Human Capital Consulting and/or closely related experience in a consultative people analytics role.</li> <li>4+ years of experience with People Analytics tools, specifically including a combination of the following: Visier, Power BI, Tableau, and/or Workday HCM.</li> <li>Proven experience with at least one Visier implementation, either by deploying Visier as the primary People Analytics platform for an organization or by expanding Visier capabilities through the implementation of new data subjects.</li> <li>4+ years of experience serving the HR Domain in areas such as recruiting, attrition, DE&amp;I, compensation and benefits, performance, and/or learning and development.</li> <li>Ability to travel 0-25%, on average, based on the work you do and the clients and industries/sectors you serve.</li> <li>Limited immigration sponsorship may be available.</li> </ul> Preferred Qualifications: <ul> <li>4+ years of experience utilizing Visier to deliver actionable insights in the role of a People Analytics practitioner.</li> <li>4+ years of external Consulting experience within a firm environment.</li> </ul> <ul> <li>Strong communication skills (to be able to effectively communicate with clients and Deloitte teams across the globe).</li> <li>Strong project management and technical skills including familiarity with the end-to-end lifecycle of a project.</li> <li>Strong familiarity with People Analytics data and technology architecture from data source to ingestion, transformation, and visualization.</li> <li>Advanced Excel, Word, and PowerPoint skills.</li> <li>Understanding of and exposure to advanced analytics techniques and approaches.</li> <li>Strong problem solving and troubleshooting skills with the ability to exercise mature judgment.</li> <li>Strong oral and written communication skills, including presentation skills.</li> <li>Ability to work independently and manage multiple task assignments.</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> Possible Locations: Atlanta, Austin, Baltimore, Birmingham, Boca Raton, Boise, Boston, Charlotte, Chicago, Cincinnati, Cleveland, Columbus, Costa Mesa, Dallas, Davenport, Dayton, Denver, Des Moines, Detroit, Fort Worth, Fresno, Grand Rapids, Harrisburg, Hartford, Houston, Indianapolis, Jacksonville, Jersey City, Kansas City, Las Vegas, Los Angeles, Louisville, McLean, Memphis, Miami, Midland, Minneapolis, Morristown, Nashville, New Orleans, New York, Philadelphia, Pittsburgh, Portland, Princeton, Raleigh, Richmond, Rochester, Rosslyn, Sacramento, Salt Lake City, San Diego, San Francisco, San Jose, Seattle, St. Louis, Stamford, Tampa, Tempe, Tulsa, Washington DC The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $119,025 to $198,375. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. For more information about Human Capital, visit our landing page at: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-human-capital-consulting-jobs.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-human-capital-consulting-jobs.html</a> #HC25 #HCaaS25 Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

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