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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>**THIS TEAM PROCESSES APPEALS ONLY****Appeals Experience HIGHLY Preferred**Position Purpose: The Supervisor of Appeals &amp; Grievances is accountable for the recruitment, hiring, promotion, counseling, and daily supervision of Grievance and Appeals Specialists and administrative support as they receive, investigate and resolve member complaints, member grievances, and provider disputes. This position is also responsible for the coordination of the resolution of grievance situations requiring competent and effective resolution in compliance with legal and regulatory requirements. This position will also perform initial and ongoing training in necessary skills and knowledge base and will assist Manager of Grievance and Appeals to establish and maintain procedures for Unit to maximize both outcomes and operational efficiency.<ul><li>Provides daily supervision for Grievance and Appeals Unit, including coordination of backup staffing, cross-training and deployment.</li></ul><ul><li>Performs recruiting, hiring, promotion, and performance evaluation tasks and counsels non-clinical Grievance and Appeals staff.</li></ul><ul><li>Orients and trains new Grievance and Appeals Unit members.</li></ul><ul><li>Continually trains Unit members concerning grievances, appeals, and provider disputes/appeals.</li></ul><ul><li>Regularly audits work of G&amp;A Specialists and reports results.</li></ul><ul><li>Coordinates investigation and resolution of complex appeal and grievance issues.</li></ul><ul><li>Provides approval decisions involving grievance and appeal determinations.</li></ul><ul><li>Coordinates maintenance and updates of desktop procedures and manuals for Unit.</li></ul><ul><li>Assists in the establishment of grievance operating procedures.</li></ul><ul><li>Prepares reports as required and performs trend analyses.</li></ul><ul><li>Participates in Health Plan audits as needed.</li></ul><ul> <li>Performs other related duties as required.</li> <li>Performs other duties as assigned</li> </ul><ul><li>Complies with all policies and standards</li></ul>Education/Experience: High School Diploma. Bachelor’s Degree preferred. 5+ years of experience in Managed Care. 2+ supervisory experience preferred.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

Oklahoma Complete Health

Supervisor, Appeals Grievance

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. ** Applicants for this role have the flexibility to work remotely from their home anywhere in the Central or Eastern United States. A Wisconsin RN license or compact RN license is required'**Position Purpose: Supervises the care management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs. Supervises day-to-day escalations and care management issues related to members or providers.<ul> <li>Monitors and reviews care management required documentation to maintain compliance with federal and state regulations and contractual agreements</li> <li>Assigns caseloads to care management staff based on state requirements, care management staff experience, and member needs</li> <li>Works with senior management on escalated and complex care cases related to BH and provides guidance to junior team members to address member concerns</li> <li>Educates and provides resources for care management team on key initiatives and member outreach</li> <li>Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones</li> <li>Provides coaching and guidance to care management team and providers to ensure members are receiving high quality care and information regarding service / care plan options, procedures, referrals, and healthcare benefits</li> <li>Monitors and review reports on a regular basis ensuring quality and productivity metrics are met and for case assignments, and may perform audits of staff on a regular basis</li> <li>Assists with onboarding, hiring, and training care management team members</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: Requires a Master's degree or Graduate from an Accredited School or Nursing and 4+ years of related experience. License/Certification:<ul><li>Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, and RN with BH experience required</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

Supervisor, Care Management

The Team You Will Join MetLife is seeking an experienced Payroll Supervisor to join our US Payroll Operations team. This virtual team is responsible for semimonthly and weekly payroll processing. The team is also responsible for payroll accounting, partnering with the Tax and Legal departments to ensure compliance, and risk mitigation through standardized processes and controls. If you thrive in a dynamic, team-oriented, professional environment focused on personal accountability and development, this position may be for you! The Opportunity We are seeking a detail-orientated and experienced Payroll Supervisor to join our team and ensure accurate and timely payroll processing. The Payroll Supervisor is responsible for a wide variety of tasks related to payroll processing activities including performing complex calculations, responding to payroll related inquiries in a professional manner, and transactional data entry as well as general supervision of approximately 4-6 payroll administrators. This role also ensures compliance with company policies, labor laws and regulations. Success in this role requires attention to detail, strong analytical skills, strong supervisory skills and the ability to identify and resolve discrepancies. The role requires a commitment to handling sensitive employee information with discretion and understanding of ethical payroll practices and data privacy laws. You’ll collaborate closely with your team, company employees, the HR community and information technology support in an environment where every contribution is respected, and every perspective is heard. How You’ll Help Us Build a Confident Future (Key Responsibilities) <ul type="disc"> <li>Oversee payroll processes ensuring timely and accurate payments to US employees.</li> <li>Ensure payroll practices comply with federal, state and local regulations including tax laws and reporting requirements.</li> <li> Actively participate in optimization of the payroll system including enhancement and maintenance testing with a strong focus on data integrity. </li> <li>Identify opportunities to streamline payroll processes and implement best practices.</li> <li>Supervise and mentor payroll staff with a strong emphasis on employee development and positive culture evolution.</li> <li>Address payroll-related inquiries and escalations and resolve discrepancies in a timely manner.</li> </ul> What You Need to Succeed (Required Qualifications) <ul> <li>Comprehensive knowledge of payroll practices</li> <li>Strong understanding of payroll tax regulations, payroll accounting, and payroll compliance requirements</li> <li>Exceptional attention to detail and problem-solving skills</li> <li>Proficiency in excel, payroll, and accounting software</li> <li>Excellent communication and interpersonal skills </li> </ul> What Can Give You an Edge (Additional Skills) <ul> <li>Bachelor’s degree in finance, accounting, or business administration or a related field (preferred)</li> <li>5+ years of experience with in-house payroll processing and payroll management</li> <li>Oracle HCM payroll (preferred)</li> <li>Certified Payroll Professional (preferred)</li> </ul>

MetLife

Payroll Supervisor

<h2>#WeAreONEOK – Fortune 500 company. 100+ years in business. Leading midstream service provider. Safety first. Sustainable operations. Environmentally responsible. Employee focused. </h2>JOB SUMMARYONEOK is seeking an experienced recruiter to join our team. The ideal candidate will have a strong background in recruiting for IT positions, including infrastructure, application development, Big Data, and Machine Learning (ML), as well as supporting other shared services departments. This role involves partnering with hiring managers, sourcing top talent, and managing the full recruitment lifecycle. Strong communication skills, a commitment to excellence, and a high sense of urgency are essential. Experience in using Workday as an applicant tracking system (ATS) is a plus. Experience in recruiting for shared service groups and knowledge of employment laws are preferred. A minimum of two years of experience is preferred. Compensation is commensurate with experience.Job Profile Summary Responsible for executing effective recruiting and staffing strategies to attract a diverse pool of qualified and capable talent for the organization.Essential Functions and Responsibilities<ul> <li>Facilitate and implement all phases of the recruitment processes including: candidate screens and selecting qualified candidates.</li> <li>Collaborate with leaders to identify and draft detailed and accurate job posting(s), hiring criteria, advertisement processes.</li> <li>Identify and implement efficient and effective recruiting methods and strategies based on the available role, industry standards and the needs of the organization.</li> <li>Collaborate with the hiring leader and/or other human resource staff during the offer process, identifying and recommending salary ranges, incentives, start dates and other pertinent details.</li> <li>Ensure compliance with federal, state and local employment laws and regulations, and company policies.</li> <li>Attend and participate in college job fairs and recruiting sessions.</li> </ul>Education<ul><li>None Required.</li></ul>Work Experience<ul> <li>This role is typically attained with a minimum of 1-2 years experience managing all phases of the recruitment and hiring processes preferred.</li> <li>Experience sourcing and screening applicant resumes, conducting employment interviews and analyzing applicant information preferred.</li> </ul>Knowledge, Skills and Abilities<ul> <li>Knowledge of: laws, regulations, and best practices applicable to hiring and recruitment.</li> <li>Ability to: utilize excellent verbal and written communication skills.</li> <li>Ability to: utilize excellent interpersonal skills with good negotiation tactics.</li> <li>Ability to: create and implement sourcing strategies for recruitment for a variety of roles.</li> <li>Ability to: be proactive and take initiative.</li> <li>Ability to: utilize excellent time management skills with a proven ability to meet deadlines.</li> <li>Ability to: collaborate effectively, establish and maintain successful working relationships.</li> <li>Ability to: quickly learn applicant-tracking software or other recruitment systems.</li> <li>Ability to: be proficient with Microsoft Office Suite or related software.</li> </ul>Licenses and Certifications<ul> <li>Diversity and Inclusion Recruiter Certification preferred.</li> <li>Staffing Professional Certification preferred.</li> </ul>Strength Factor Rating - Physical Demands/Requirements<ul><li>Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.</li></ul>Strength Factor Description - Physical Demands/Requirements<ul> <li>Standing: Remaining on one's feet in an upright position at a work station without moving about (Occasionally)</li> <li>Walking: Moving about on foot (Frequently)</li> <li>Sitting: Remaining in a seated position (Constantly)</li> <li>Lifting: Raising or lowering an object from one level to another (includes upward pulling) (Occasionally)</li> <li>Carrying: Transporting an object, usually holding it in the hands or arms, or on the shoulder (Occasionally)</li> <li>Pushing: Exerting force upon an object so that the object moves away from the force (Occasionally)</li> <li>Pulling: Exerting force upon an object so that the object moves toward the force (includes jerking) (Occasionally)</li> <li>Climbing: Ladders, Stairs (Occasionally)</li> <li>Balancing: Maintaining body equilibrium to prevent falling (Occasionally)</li> <li>Stooping: Bending the body downward and forward by bending the spine at the waist (Occasionally)</li> <li>Kneeling: Bending the legs at the knees to come to rest on the knee or knees (Occasionally)</li> <li>Crouching: Bending the body downward and forward by bending the legs and spine (Occasionally)</li> <li>Crawling: Moving about on the hands and arms in any direction (Occasionally)</li> <li>Reaching: Extending hands and arms in any direction (Constantly)</li> <li>Handling: Seizing, holding, grasping, turning or otherwise working with the hand or hands (Manual Dexterity) (Constantly)</li> <li>Fingering: Picking, pinching or otherwise working with the fingers primarily (Finger Dexterity) (Constantly)</li> <li>Feeling: Perceiving such attributes of objects/materials as size, shape, temperature, texture, movement or pulsation by receptors in the skin, particularly those of the finger tips (Constantly)</li> <li>Talking: Expressing or exchanging ideas/information by means of the spoken word (Frequently)</li> <li>Hearing: Perceiving the nature of sound by the ear (Frequently)</li> <li>Tasting/Smelling: (Occasionally)</li> <li>Near Vision: Clarity of vision at 20 inches or less (Constantly)</li> <li>Far Vision: Clarity of vision at 20 feet for more (Frequently)</li> <li>Depth Perception: Three-dimensional vision; ability to judge distances and spatial relationships so as to see objects where and as they actually are (Frequently)</li> <li>Vision: Color - The ability to identify and distinguish colors (Constantly)</li> </ul>Working Conditions/Environment<ul><li>Employee is subject to inside environmental conditions</li></ul>Working Conditions<ul> <li>Well lighted, climate controlled areas (Constantly)</li> <li>Frequent repetitive motion (Constantly)</li> <li>CRT (Computer Monitor(s)) (Constantly)</li> </ul>Travel<ul><li>Travel to other locations required.</li></ul>Driving<ul><li>Based on assigned tasks, employee may be assigned a company vehicle requiring the applicable driver's license</li></ul>ONEOK is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, sex, pregnancy, sexual orientation, age, religion, creed, national origin, gender identity, disability, military/veteran status, genetic information or any other categories protected by applicable law.The job description is not intended to be a complete list of all responsibilities, duties or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of ONEOK.ONEOK is committed to making our workplace accessible to individuals with disabilities and will provide reasonable accommodations, upon request, for individuals to participate in the application and hiring process. To request an accommodation email <a href="mailto:HRSolutions@ONEOK.com" target="_blank">HRSolutions@ONEOK.com</a> or call 1-855-663-6547​. #LI-HYBRIDExpected Salary Range$68,000.00 - $102,000.00

ONEOK

Recruiter - Corporate

<h2>#WeAreONEOK – Fortune 500 company. 100+ years in business. Leading midstream service provider. Safety first. Sustainable operations. Environmentally responsible. Employee focused. </h2>JOB SUMMARYJob Profile Summary Oversees and provides overall company guidance for the execution and maintenance of the corrosion control program to ensure compliance with regulations and company procedures. Provides technical leadership and support to operations management and field personnel responsible for the corrosion control and supports the pipeline integrity program.Essential Functions and Responsibilities<ul> <li>Oversee the company’s corrosion control activities including cathodic protection design, record keeping, and corrosion control maintenance. Ensures that corrosion records are kept and maintained according to DOT requirements, company standards, and department guidelines</li> <li>Develop and implement corrosion control programs for company facilities that include pipelines and facilities, both internal and external corrosion mitigation. Troubleshoot and correct complex cathodic protection deficiencies, and stray current interference problems</li> <li>Provide advanced technical guidance in developing corrosion and/or pipeline integrity project planning. Seeks out industry peers to determine best practices that can enhance the company’s programs</li> <li>Lead efforts in planning, project scope and execution, material requisitions, contractor selection, documentation, and management of new projects and work orders. Maintain the annual Corrosion Services budget for both individual projects and routine operations activities</li> <li>May provide overall field project management support of pipeline integrity projects, including: smart pig runs, assessment validations and digs, pipe re-coating, corrosion surveys, and groundbed rectifier systems</li> <li>Ensures installations and/or pipeline integrity projects are in compliance with Pipeline Safety Regulations, NACE Standards, and company procedures and standards</li> <li>Provides corrosion control training to operation supervisors and field personnel, including mentoring and/or verifying the qualifications of personnel to perform OQ covered tasks</li> <li>Oversees facility inspections, reviews records and report’s findings from the corrosion specialists and technicians to the appropriate operations management or departments</li> <li>Prepare and oversee the preparation of special reports that document and/or make recommendations regarding the results of pipeline integrity assessment activities, special projects, or surveys</li> <li>Establish and maintain effective work relationships within the department, the company, and internal customers. Maintain the professional competence, knowledge, and skills necessary to effectively complete responsibilities; enhance job knowledge and abilities by taking personal responsibility for professional development and training. Perform and/or coordinate software and hardware maintenance, including repairs and upgrades</li> <li>Responsibilities may include Department of Transportation (DOT) covered functions, including operations, maintenance, or emergency response on a pipeline. Job duties also require the employee to be alert and respond immediately to dangerous or hazardous conditions, and where impaired performance, or failure to follow safety precautions, could result in serious injury or property damage.</li> </ul>Education<ul><li>Bachelor's Degree in Engineering or related field or an equivalent combination of formal education and job related experience</li></ul>Work Experience<ul> <li>Experience with pipeline construction and maintenance and corrosion control functions</li> <li>Experience planning and designing cathodic protection systems</li> <li>Experience in use and function of tools and equipment applicable to position including utilizing computers (MS Excel, Word, Outlook, PowerPoint and Access).</li> <li>Experience related to:<ul> <li>Evaluation and recommendation of corrosion control materials, equipment and procedures</li> <li>Resolve system deficiencies</li> <li>Applicable company and governmental standards and regulations</li> </ul> </li> <li>Experience reading and interpreting pipeline safety regulations, company operating procedures, engineering standards constructions standards, corrosion engineering publications, accounting manuals and company procedures</li> <li>Experience analyzing, compiling, and/or preparing data for reports, company standards and practices, training materials, test results and findings</li> <li>Experience interacting, advising, and communicating effectively</li> <li>Experience conducting training, meetings and making presentations to groups and individuals</li> </ul>Knowledge, Skills and Abilities<ul> <li>Knowledge of: mainline, lateral, gathering, trunk line pipeline operations, compressor stations, pump stations and associated equipment</li> <li>Ability to: apply math and algebraic formulas and analytical and problem-solving skills</li> <li>Ability to: communicate and/or exchange information or instruction</li> <li>Ability to: operate tools and equipment required</li> </ul>Licenses and Certifications<ul><li>NACE certification preferred</li></ul>Strength Factor Rating - Physical Demands/Requirements<ul><li>Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.</li></ul>Strength Factor Description - Physical Demands/Requirements<ul> <li>Standing: Remaining on one's feet in an upright position at a work station without moving about (Occasionally)</li> <li>Walking: Moving about on foot (Frequently)</li> <li>Sitting: Remaining in a seated position (Constantly)</li> <li>Lifting: Raising or lowering an object from one level to another (includes upward pulling) (Occasionally)</li> <li>Carrying: Transporting an object, usually holding it in the hands or arms, or on the shoulder (Occasionally)</li> <li>Pushing: Exerting force upon an object so that the object moves away from the force (Occasionally)</li> <li>Pulling: Exerting force upon an object so that the object moves toward the force (includes jerking) (Occasionally)</li> <li>Climbing: Ladders, Stairs (Occasionally)</li> <li>Balancing: Maintaining body equilibrium to prevent falling (Occasionally)</li> <li>Stooping: Bending the body downward and forward by bending the spine at the waist (Occasionally)</li> <li>Kneeling: Bending the legs at the knees to come to rest on the knee or knees (Occasionally)</li> <li>Crouching: Bending the body downward and forward by bending the legs and spine (Occasionally)</li> <li>Crawling: Moving about on the hands and arms in any direction (Occasionally)</li> <li>Reaching: Extending hands and arms in any direction (Constantly)</li> <li>Handling: Seizing, holding, grasping, turning or otherwise working with the hand or hands (Manual Dexterity) (Constantly)</li> <li>Fingering: Picking, pinching or otherwise working with the fingers primarily (Finger Dexterity) (Constantly)</li> <li>Feeling: Perceiving such attributes of objects/materials as size, shape, temperature, texture, movement or pulsation by receptors in the skin, particularly those of the finger tips (Constantly)</li> <li>Talking: Expressing or exchanging ideas/information by means of the spoken word (Frequently)</li> <li>Hearing: Perceiving the nature of sound by the ear (Frequently)</li> <li>Tasting/Smelling: (Occasionally)</li> <li>Near Vision: Clarity of vision at 20 inches or less (Constantly)</li> <li>Far Vision: Clarity of vision at 20 feet for more (Frequently)</li> <li>Depth Perception: Three-dimensional vision; ability to judge distances and spatial relationships so as to see objects where and as they actually are (Frequently)</li> <li>Vision: Color - The ability to identify and distinguish colors (Constantly)</li> </ul>Working Conditions/Environment<ul><li>Employee is subject to inside environmental conditions</li></ul>Working Conditions<ul> <li>Well lighted, climate controlled areas (Constantly)</li> <li>Frequent repetitive motion (Constantly)</li> <li>CRT (Computer Monitor(s)) (Constantly)</li> </ul>Travel<ul><li>Travel in and around plant, office facilities, and around job sites out-of-doors required</li></ul>Driving<ul><li>Based on assigned tasks, employee may be assigned a company vehicle requiring the applicable driver's license</li></ul>ONEOK is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, sex, pregnancy, sexual orientation, age, religion, creed, national origin, gender identity, disability, military/veteran status, genetic information or any other categories protected by applicable law.The job description is not intended to be a complete list of all responsibilities, duties or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of ONEOK.ONEOK is committed to making our workplace accessible to individuals with disabilities and will provide reasonable accommodations, upon request, for individuals to participate in the application and hiring process. To request an accommodation email <a href="mailto:HRSolutions@ONEOK.com" target="_blank">HRSolutions@ONEOK.com</a> or call 1-855-663-6547​. Expected Salary Range$109,000.00 - $163,000.00

Supervisor - Corrosion Services

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: Provide evidence-based assessment, diagnostics, and strategic advising to leaders and partners throughout our People team. Translate complex data into actionable strategies and facilitating collaboration between technical and non-technical teams to enhance data-focused practices. Utilize knowledge of People data, along with deep business context, to enable deep insights guiding the People organization and Business Leaders to make thoughtful people decisions. <ul><li>Transform analytical findings into actionable data-driven insights, providing business recommendations that align with and support the company's strategic talent goals.</li></ul> <ul><li>Cultivate a data-driven approach within the organization, starting with the HR team, by effectively communicating data-driven insights.</li></ul> <ul><li>Manage the end-to-end process of data analysis, from extracting insights to effectively translating these insights into accessible and engaging resources for stakeholders.</li></ul> <ul><li>Utilize data-driven insights to inform and guide critical strategic decisions, while staying abreast of the latest HR trends and technological advancements.</li></ul> <ul><li>Collaborate with various stakeholders to ensure data-driven strategies are aligned with business objectives</li></ul> <ul><li>Provide advice to HR leaders on the development and implementation of innovative and strategic data solutions, aligning them with the organization's goals</li></ul> <ul><li>Gather, analyze, and interpret workforce data turning it into actionable intelligence that informs and shapes strategic organizational decisions</li></ul> <ul><li>Manage analytics projects, ensuring effective execution, and understanding as well as communicating the operational impact of various trends and technologies in people analytics.</li></ul> <ul> <li>Lead &amp; coordinate analytics projects or enterprise projects with an analytic dependency</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 related field required. 5+ years experience with data analytics, applied analytics, or related field required. Experience with a variety of data analysis tools and techniques, including visualization tools (Tableau, Power BI, etc.).Centene 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

People Analytics Advisor

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>**THIS TEAM PROCESSES APPEALS ONLY****Appeals Experience HIGHLY Preferred**Position Purpose: Supervise nurses in a highly regulated department responsible for performing medical necessity case reviews for appropriateness of medical care and service. Supervise the day to day clinical operations and functions within the department, ensuring productivity and quality metrics are met.<ul> <li>Provide oversight and interpretation of state/federal regulations and NCQA standards impacting member appeals and grievances from a clinical perspective. Ensure that the clinical Appeals and Grievance department processes all cases in accordance with policies and procedures</li> <li>Utilize clinical expertise to serve as a resource to the team regarding escalated or complex clinical issues</li> <li>Monitor and distribute team’s caseload and ensure adequate coverage</li> <li>Monitor and evaluate performance standards and provide feedback and guidance or problem resolution.</li> <li>Identify and develop opportunities for process improvement and work with various leaders to ensure problems are corrected</li> <li>Train and onboard new team members</li> <li>Audit staff to standards and provide continuous feedback</li> <li>Assist management in committee work, regulatory audits and regulatory reporting.</li> <li>Analyze and interpret state and federal regulatory requirements and NCQA standards and provide guidance to team to ensure adherence</li> </ul>Education / Experience: Bachelor's degree in Nursing preferred. 3+ years of combined nursing and appeal and grievance, or utilization management or case management experience. Previous supervisory experience strongly preferred. Proficient with Microsoft Office applications. Knowledge of coding preferred. Previous Quality Improvement experience preferred. Knowledge of DHCS/DMHC regulations preferred. Licenses, Certifications: LPN Required (RN preferred)Pay Range: $68,700.00 - $123,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Supervisor, Clinical Grievance and Appeals

Ready to be a Titan? We’re looking for a Senior HRBP to join our People team at ServiceTitan. In this role, you’ll partner closely with leaders and talent across select key functions within the organization as we focus on scaling the organization and everything that comes along with that. Driving impact for our customers is critical to our mission, but equally important is the environment and culture in which the teams operate to achieve and those outcomes. The HRBP team plays a key role in our organization to achieve the extraordinary and the ideal candidate will contribute at both hands-on and strategic levels. We are looking for someone who has been exposed to scaling teams in a fast-paced, remote environment while touching each step of the employee lifecycle. This position requires establishing yourself as a trusted and knowledgeable partner to your business teams, being proactive, curious and solutions minded, and acting as an owner in everything you do. It requires a desire to roll up your sleeves and help make us even better at what we do for our next phase of growth. What you'll do: <ul> <li>Provide strategic thought partnership and coaching to our leaders in leading and scaling high performing, ambitious teams with business outcomes in mind. </li> <li>Coach and advise across all levels of the organization on a variety of components impacting our Titans; including change management, performance management, people and team dynamics, organizational design, rewards and recognition, and employee relations concerns.</li> <li>Build effective relationships while modeling and inspiring a culture of mutual accountability, grit, constructive collaboration, and high quality ownership and execution of outcomes.</li> <li>Identify and drive organizational-wide opportunities and initiatives that scale impact and meaningfully add value to our Titans and teams. </li> <li>Lead, collaborate and execute with the broader People Ops team to roll out all key people programs and processes around compensation reviews, DEI, Total Rewards, and Learning &amp; Development programs for your groups.</li> <li>Leverage data to identify themes and influence solutions. </li> </ul> What you'll need: <ul> <li>8+ years of HR business experience, ideally with at least 4+ years of experience as a strategic HR business partner in a scaling environment.</li> <li>Well-rounded experience with a variety of HR disciplines such as employee relations, organizational design, performance management, and talent development.</li> <li>Experience supporting organizations based both remotely and internationally.</li> <li>Comfort in navigating complex situations and operating in a fast-paced, sometimes ambiguous environment. An ability to identify root issues and coach/influence leaders and employees. </li> <li>A deep level of curiosity and strong business acumen to be able to proactively connect the dots and make sound decisions using great judgment.</li> </ul> Be Human With Us:Being human isn’t about checking every box on a list. It’s about the experiences we have, people we meet, and the perspectives we share. So, if you have the skills but are hesitant to apply because of your background, apply anyway. We need amazing people like you to help us challenge the conventional and think differently about the problems that we’re solving. We’re in this together. Come be human, with us. What We Offer:When you join our team, you’re not just accepting a job. You’re making a career move. Here’s how we’ll support you in doing some of the most impactful work of your career:<ul> <li>Flextime, recognition, and support for autonomous work: Flexible time off with ample learning and development opportunities to continue growing your career. We offer a comprehensive onboarding program, leadership training for Titans at all levels, and other programs and events. Great work is rewarded through Bonusly, peer-nominated awards, and more. </li> <li>Holistic health and wellness benefits: Company-paid medical, dental, and vision (with 100% employer paid options and 90% coverage for dependents), FSA and HSA, 401k match, and telehealth options including memberships to Headspace, Galileo, One Medical, Ginger and more. </li> <li>Support for Titans at all stages of life: Parental leave and support, up to $20k in adoption reimbursement, on demand maternity support through Maven Maternity, free breast milk shipping through Maven Milk, pet insurance, legal advisory services, financial planning tools, and more.</li> </ul>At ServiceTitan, we celebrate individuality and uniqueness. We believe that the convergence of fresh perspectives and experiences from all walks of life is what makes our product and culture so great. We strongly encourage people from underrepresented groups to apply. We do not discriminate against employees based on race, color, religion, sex, national origin, gender identity or expression, age, disability, pregnancy (including childbirth, breastfeeding, or related medical condition), genetic information, protected military or veteran status, sexual orientation, or any other characteristic protected by applicable federal, state or local laws.ServiceTitan is committed to fair and equitable compensation for all of our employees. We thoughtfully consider a wide range of factors when determining individual compensation. The expected salary range for this role for candidates residing in the United States is between $151,100 USD - $202,100 USD. Compensation for candidates residing outside the United States will vary by location and the specific salary range will be discussed during the hiring process. Actual compensation for an individual may vary depending on skills, performance over time, qualifications, experience, and location. In addition to the base salary, the total compensation package also includes an annual bonus, equity and a holistic suite of benefits.

ServiceTitan

Senior Human Resources Business Partner

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: The Project Manager will plan, organize, monitor, and oversee complex HR projects collaborating with cross functional teams such as HR and business stakeholders to deliver defined requirements and meet company strategic objectives.<ul> <li>Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure.</li> <li>Utilize corporate and industry standard project management tools and techniques to effectively manage projects.</li> <li>Assist with establishment and maintenance of corporate project management methodology and other department procedures.</li> <li>Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans.</li> <li>Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries.</li> <li>Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.</li> <li>Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives.</li> <li>Provide functional and technical knowledge across multiple business and technical areas.</li> <li>Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation.</li> </ul>Education/Experience:<ul> <li>Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master's degree preferred.</li> <li>4+ years of project management and implementation or program management experience. Proficient with MS Office applications and project management tools including Smartsheet.</li> <li>Experience working with and leading diverse groups and matrix managed environments.</li> <li>Experience managing projects within Human Resources highly preferred.</li> </ul> License/Certification: PMP, PgMP, or CAPM preferred.Centene 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

Human Resources Project Manager III

<h2>What's the role?</h2> The Human Resources Analyst is the primary advanced report writer and data auditor for the Human Resources People Services function. Responsibilities include, but are not limited to, data management and ensuring compliance to internal controls and external state and federal governing agencies, as well as advanced level system testing and special projects. <h2>Who is Hilti?</h2> At Hilti, we are a passionate global team committed to making construction better. As a trusted partner for productivity, safety, and sustainability, we provide our customers innovative solutions that impact the buildings, roads, and infrastructure people rely on every day. Hilti is where individuals grow lasting careers by exploring possibilities, maximizing their potential, owning their development, and making a real difference every day. <h2>What does the role involve?</h2> HR Reporting and Analytics <ul> <li> Partner with business leaders and HR teams including: HR centers of excellence and HR Business Partners to provide standardized reporting and analytics on all relevant people topics </li> <li> Design, develop, implement, and maintain advanced reports and dashboards </li> <li> Manage government report writing and submission (EEOC and state required reporting) </li> </ul> <ul> <li> Manage and support business reporting initiatives by developing, implementing, maintaining and tracking global and local key performance indicators that facilitate valuable insight into the effectiveness and success of the Human Resources Department </li> <li> Partner with HR, finance, and marketing teams to ensure accuracy and effectiveness of headcount reporting </li> <li> Collaborate with relevant Hilti team members to ensure that global and local reporting standards are met, and appropriate user authorization concepts are maintained </li> </ul> <ul> <li> Proactively apply analytical and research skills to monitor trends and elevate issues due to data variances </li> </ul> <ul> <li> Create and maintain monthly scorecards from shared services system data to measure shared services efficiencies </li> <li> Respond to ad hoc data requests from internal departments </li> </ul> Data Management <ul> <li> Manage data quality by conducting thorough periodic audits </li> <li> Continuously improve data management methods and systems; proactively suggest opportunities to avoid problems and anticipate future data needs </li> </ul> Compliance <ul> <li> Monitor and audit HR processes for federal and state compliance (EEOC, OFCCP, etc.) </li> <li> Monitor and audit HR ICS (Internal Controls) for HR key business and data processes </li> <li> Manage and complete government reporting requirements </li> </ul> Other <ul> <li> Active participant in global projects, acting as a reporting and analytics lead, contributing to solutions, analyzing proposed solutions, testing, and communication planning as needed for impacts to the reporting ecosystem </li> <li> Additional duties, as assigned </li> </ul> <blockquote> Every Hilti employee is welcomed to participate in the Mentor as you Grow program that was developed by employees, for employees </blockquote> <h2>What do we offer?</h2> In addition to a competitive base salary and bonus potential, we offer a robust benefits package including a generous paid time off policy that includes vacation, personal days, health &amp; wellness, and 2 days per year to give back in your local community, paid family leave, educational reimbursement, 401(k) matching, medical/dental/vision coverage, and a variety of other benefits to fit the needs of our employees. We will give you the tools you need to succeed through hands-on integration training and will support your continued professional development through ongoing training and mentoring, targeted leadership programs, and opportunities for international assignments in any of the 120+ countries in which we operate. <h2>What you need is:</h2> <ul> <li> Bachelor’s Degree in Human Resources, IT, or business-related field, required </li> <li> Master’s Degree in business, Human Resources, data science, or related fields, preferred; </li> <li> Minimum three (3) to five (5) years’ related professional experience with data and analytics, preferred <ul> <li> Minimum one (1) to two (2) years’ related professional experience with HR Reporting or HRIS </li> <li> Minimum one (1) to two (2) years’ experience actively creating impactful communication and presentation via PowerPoint, Power BI, Tableau, or other data visualization mediums. </li> <li> Minimum one (1) to two (2) years’ experience advanced report writing </li> </ul> </li> <li> Excellent communication (verbal, written, presentation) skills; understand and communicate analysis with individuals in a wide range of strategic and executional roles, with intuitive understanding of what the analysis implies and how it would be affected by changes in assumptions </li> <li> Proven ability to extract a story from raw data, through deep data analysis </li> <li> Expert in using Excel (pivot tables, VLOOKUP, graphs) and PowerPoint required; expertise in building, maintaining, and leveraging data visualization software such as Power BI or Tableau preferred </li> <li> Ability to think creatively and strategically; take a hands-on approach with a technical aptitude </li> <li> Ability to multi-task and change priorities in a fast-paced environment while effectively managing deadlines </li> <li> Ability to keep information confidential and commitment to producing high quality work </li> <li> Strong analytical and problem-solving skills </li> <li> Strong interpersonal, teamwork, and organizational skills </li> <li> Strong stakeholder management skills to understand stakeholder needs, negotiate requirements and timelines, and communicate solutions </li> <li> Excellent detail orientation and organizational skills </li> <li> Ability to work effectively in a team environment </li> </ul> <h2>Why should you apply?</h2> Let’s face it, we know there are lots of other companies out there. We have an excellent mix of people, which we believe makes for a more vibrant, more innovative, more productive team. We're a big company with a family-owned feel. You will be given the opportunity to make big changes that will ripple throughout the industry while feeling right at home with the Hilti family. Hilti, Inc is committed to employing a diverse workforce. Qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, gender expression, veteran status, or disability.

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