Become a part of our caring community The Network Operations Coordinator 4 manages provider data for health plans including but not limited to demographics, rates, and contract intent. Manages provider audits, provider service and relations, credentialing, and contract management systems. Executes processes for intake and manage provider perceived service failures. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight. Use your skills to make an impact Required Qualifications Minimum of 2 years of provider relations experience, healthcare services or related experience Minimum of 1 year of experience managing mid to large scale projects Intermediate experience in Microsoft Word, Outlook, Excel (VLOOKUP’s, lateral lookups & ability to manipulate data) and TEAMS Ability to accommodate a work schedule following Central Standard Time zone hours Preferred Qualifications Advanced experience with Microsoft Excel Provider contract interpretation experience Previous account management or project management Knowledge of medical claims Work at Home Requirements: To ensure Home or Hy
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Become a part of our caring community The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Regulatory Compliance – State Enterprise Intake and Implementation – Senior Compliance Professional The Senior Compliance Professional implements new statues, regulations, rules and other regulatory guidance issued by state and federal regulators across the enterprise. Coordinates business partner engagement and implementation of rules. Researches compliance issues and recommends changes that ensure compliance with regulatory obligations. Provides compliance guidance and direction to business partners. Monitors metrics and other oversight tools that track implementation activity. Recommends new measures of compliance performance. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding implementation components. Exercises considerable latitude in determining objectives and approaches to assignments. The Senior Compliance Professional's primary focus will be to implement new federal and state rules, including PBM, across the enterprise. Key responsibilities may include: Serve as the subject matter expert and point-of-contact for individual state and federal implementations, leading implementation activity from onset to conclusion. Research, understand, and apply laws, regulations, and regulatory guidance for federal and state compliance issues. Analyze business requirements and complex issues, conduct research, and provide regulatory guidance to business partners, Law, Risk, and Compliance associate and leaders with regard to federal
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists The Opportunity The Clinical Information Analyst will work out of our Santa Clara, CA location and is responsible for the development and optimization of reporting solutions which support and advance data-driven problem solving in the con
Become a part of our caring community The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Product Owner maximizes value of product created by Agile team. Liaises with stakeholders and the development team ensuring the right product is being built, in the right order, within budget and by the deadline. Serves as the Agile team's primary contact for information, work prioritization, and decision-making. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, andwork is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. This is a remote position and you will report to the Director, Product Management. This position is created specifically to assist with Humana's efforts to secure and, if awarded, transition into a new business opportunity. Please note that continued employment in this role is expressly contingent upon Humana's receipt of the business opportunity and a satisfactory transition into the work. In the event Humana does not pursue the opportunity or determines that a timely and satisfactory transition cannot be achieved, employment may be subject to termination. Use your skills to make an impact Required Qualifications You will have a Bachelors degree or equivalent You will have 3+ years of technical experience, product ownership, or project management experience You will be Certified SAFe®
Become a part of our caring community Humana’s Quality and Cost Strategy Analytics Team is seeking a Research Scientist 2 (Remote). Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Quality and Cost Strategy Analytics team identifies opportunities and build solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic mindset, and rigorous study designs. In this multi-disciplinary team, you will have the opportunity to work closely with strategy partners and clinicians to shape Humana’s future enterprise clinical strategies and initiatives. The Research Scientist 2 will lead research, evaluation and development of opportunities that optimize healthcare delivery, lower medical cost while improve member health outcomes, through applying mathematical, statistical, epidemiologic and data science methods. The Research Scientist 2 will also partner with stakeholders across the enterprise to identify, prioritize and measure the impact of core and novel solutions to significant problems in healthcare and improve the health of especially underserved population, using high volumes of structured and unstructured data. Responsibilities As a Research Scientist 2, you will: Research, prototype and scale new ideas to improve population health and healthcare delivery Collaborate with analytic and business teams to set objectives, approaches, and work plans Collaborate with strategy to evaluate existing programs and identify and measure new solutions to impact healthcare Leverage a wide range of analytics methods ranging from descriptive to prescriptive to transform high volumes of complex data into analytics solut
Become a part of our caring community The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Software Engineer standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. Researches complaints and makes necessary adjustments and/or recommendations to resolve complex software related issues. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and performs work without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Collaborates with Business partners and Solution and Application architects in designing software solutions Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer Science or related field 5 or more years of experience designing, developing, and testing of software applications and/or infrastructure Must be passionate about contributing to an organization focused on continuously improving consumer experiences 5+ years’ experience with Workday integration techniques including RaaS, API, Cloud Connector, and EIB 4+ years’ experience collaborating with HR, Talent, Payroll, Benefits, and Learning teams 3+ years’ experience with Workday architecture and data structures 3+ years’ experience working with protected information 2+ years’ experience implementing Workday security including SSO and MFA Preferred Qualifications Master's
Description: Graviton is a privately funded quantitative trading firm striving for excellence in financial markets' research. We are seeking a Senior Quantitative Trader for our team in Gurgaon. We trade across a multitude of asset classes and trading venues with significant market share and constantly seeking to replicate our successes to newer exchanges and products. As a Senior Quantitative Trader your responsibilities will include Develop and deploy completely automated systematic strategies with short holding periods and high turnover Typical strategies deployed include Alpha-seeking strategies and Market Making Rigorously back-test strategies on in-house research infrastructure Graviton can offer a successful Quantitative Trader Exceptional financial rewards Friendly and collegial working environment Access to advanced trading systems for low-latency execution of strateiges Excitement of being a part of a new expanding trading business Requirements : Deep experience in HF/UHF Trading Live HF Trading experience for at least 2 years. PnL Track record with excellent sharpe ratios. Programming experience in C++ or C Proficiency in using Python, R, or Matlab for statistical/data analysis of HFT tick data Possess a degree in a highly analytical field, such as Engineering, Mathematics, Computer Science Benefits: Our open and casual work culture gives you the space to innovate and deliver. Our cubicle free offices , disdain for bureaucracy and insistence to hire the very best creates a melting pot for great ideas and technology innovations. Everyone on the team is approachable, there is nothing better than working with friends! Our perks have you covered. Competitive compensation 4 Weeks of paid vacation Monthly after work parties Catered breakfast and lunch Fully stocked kitchen Gym membership International team outing
Become a part of our caring community The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Your work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting will report to the Actuary, Analytics/Forecasting. You will play a key role in the Medicare actuarial forecasting process. This position entails the maintenance of the provider revenue and expense projection model and associated tools supporting the projection model. The Actuarial Analyst 2, will be responsible for integrating value-based provider impacts into financial and bid forecasts, managing tools associated with these impacts, and providing guidance on effective risk modeling practices. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. You will collaborate with stakeholders to understand business needs/issues, troubleshoots problems, conduct root cause analysis, and develop cost effective resolutions for data anomalies. You will understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. You will make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receives guidance where needed. You will follow established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree Successful completion of at least 3 actuarial exams<
Become a part of our caring community Help shape practical, responsible AI solutions that improve healthcare experiences and outcomes. Humana’s Enterprise AI organization develops safe, scalable AI solutions across our Insurance and CenterWell businesses. We bring together product managers, data scientists, engineers, policy experts, and business leaders to apply emerging technology to meaningful healthcare challenges. As Associate Director of Applied AI, you will lead teams that design, build, and deploy enterprise AI solutions, with a focus on generative AI and intelligent agents. You will connect technical strategy to business needs, guide responsible delivery in a regulated environment, and help teams turn promising ideas into measurable outcomes for members, patients, and associates. Key Responsibilities Lead and mentor teams developing production-ready AI solutions that improve healthcare delivery, member experiences, and business operations. Help define and execute the roadmap for applied AI initiatives in alignment with enterprise priorities and business needs. Guide the evaluation and adoption of machine learning, generative AI, large language models, multimodal models, and intelligent agent technologies. Oversee scalable APIs, frameworks, data pipelines, retrieval-augmented generation solutions, and agent orchestration capabilities. Partner with product, data science, engineering, architecture, security, and business teams to translate requirements into reliable solutions. Establish standards for AI evaluation, obse
Become a part of our caring community We are seeking a highly experienced Lead Full Stack Engineer to drive engineering excellence across front-end, back-end, API, and data layers. This role is responsible for setting technical direction, ensuring consistent delivery across teams, and aligning engineering solutions with business priorities. The ideal candidate will be a strong technical leader who thrives in complex environments, drives modernization initiatives, and develops high-performing engineering talent. This role offers the opportunity to shape the future of our engineering landscape, influence enterprise-scale decisions, and lead transformation initiatives that directly impact customer experience and business growth. Location : Louisville, KY or Dallas, TX (Work At Home with occasional office visits) Key Responsibilities Engineering Leadership & Strategy Lead full stack engineering strategy and execution across UI, APIs, and data platforms Define architectural direction and ensure high standards for code quality, scalability, and maintainability Select frameworks, languages, and platforms across front-end, back-end, APIs, and data layers Approve architectural patterns (monolith vs. microservices, cloud strategy, and integrations) Identify opportunities to refactor, modernize, or retire legacy systems Delivery Execution & Prioritization Drive consistent delivery across multiple engineering teams through: Sprint planning and execution Dependency management Risk mitigation Removal of technical and organizational blockers Prioritize feature development, platf
The Mortgage Lending Officer role is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing processes and data. Integrates established disciplinary knowledge within own specialty area with basic understanding of related industry practices. Good understanding of how the team interacts with others in accomplishing the objectives of the area. Develops working knowledge of industry practices and standards. Must be able to exchange information in a concise and logical way as well as be sensitive to audience diversity. Limited but direct impact on the business through the quality of the tasks/services provided. Impact of the job holder is restricted to own team. Citi, the leading global financial services company, has some 200 million customer accounts and does business in more than 160 countries and jurisdictions. Citi provides consumers, corporations, governments and institutions with a broad range of financial products and services, including consumer banking and credit, corporate and investment banking, securities brokerage, and wealth management. Citi Bank Retail Mortgage provides home lending services via our Citibank branches and centralized service centers. The Home Lending Officer role represents the Retail Mortgage business providing superior service to clients and referral partners and is responsible for originating high quality residential real estate loans for clients. This highly interactive role engages internally with retail branch partners, operations, community business development officers. This role drives mortgage sales and client relationships through engagement with clients, real estate agents, and other area referrers. Responsibilities: Consult with customers about their financial situation, financial and personal objectives and lending needs for the purpose of helping them achieve their home ownership goals. Collect a
At Freddie Mac, our mission of Making Home Possible is what motivates us, and it’s at the core of everything we do. Since our charter in 1970, we have made home possible for more than 90 million families across the country. Join an organization where your work contributes to a greater purpose. Position Overview: We are currently seeking a Quantitative Risk Analysis Manager to join the Credit Analytics & Reporting team in the Single-Family division. This position will be tasked with managing a team responsible for reporting and analytics regarding Collateral offerings as well as Collateral model business user supports. The role requires deep understanding of data and current code base, designing analytical approaches for business questions and scenario evaluations, managing data research, analyses and preparation of reports and presentations. Our Impact: Our team is responsible for producing reporting packages to monitor trends and performance. We analyze different test and learn or pilot programs to assess risk of the offerings and create reports to monitor these offerings closely to assess broad roll out. We perform significant user activities for enterprise Collateral models for user acceptance testing and provide feedback. Your Impact: Manage a team of three to four people Complete baseline processes and reports monthly and interpret results as it relates to collateral risk management Follow appropriate controls and standards established to maintain and document for processes & reports. Participate in performing ad-hoc analytics in support of collateral policy Cleanse, manipulate and analyze large datasets using statistical software Collaborate with team members and interact across organizational lines to meet business objectives Qualifications: Degree in
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Position Overview The Pre-Analytical Laboratory Technician II is responsible for preparing samples for analysis, recording, and/or verifying patient’s information. This role is primarily responsible for performing duties related to accessioning, sample management, problem resolution, data entry, and specimen storage with high degree of proficiency. A successful candidate would be expected to have the ability to swiftly pick up new laboratory process that they are trained in due to experience gained in previous laboratory roles. Potential candidates should be able to demonstrate that they have good documentation practices (GDP) knowledge. Shift: Monday-Friday: 11am-7:30pm PST Essential Duties Include, but are not limited to, the following: Perform laboratory tasks, as assigned. Clean and organize common lab areas and take responsibility for all housekeeping tasks being completed on time. Receive, sort, and unpack incoming samples regularly. Unpack, log and track incoming samples using specified software regularly. Perform administrative duties required for incoming samples; including, but not limited to scan needed paperwork, such as pathology reports and requisitions and file physical paperwork per required procedures. Perform order entry and order processing such as in lieu of; including, but not limited to reviewing patient demographics and sample collection. Evaluate insurance and verify billing information. Transcri
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Position Overview The Pre-Analytical Laboratory Technician II is responsible for preparing samples for analysis, recording, and/or verifying patient’s information. This role is primarily responsible for performing duties related to accessioning, sample management, problem resolution, data entry, and specimen storage with high degree of proficiency. A successful candidate would be expected to have the ability to swiftly pick up new laboratory process that they are trained in due to experience gained in previous laboratory roles. Potential candidates should be able to demonstrate that they have good documentation practices (GDP) knowledge. Shift: Monday-Thursday, Saturday: 9am-5:30pm PST Essential Duties Include, but are not limited to, the following: Perform laboratory tasks, as assigned. Clean and organize common lab areas and take responsibility for all housekeeping tasks being completed on time. Receive, sort, and unpack incoming samples regularly. Unpack, log and track incoming samples using specified software regularly. Perform administrative duties required for incoming samples; including, but not limited to scan needed paperwork, such as pathology reports and requisitions and file physical paperwork per required procedures. Perform order entry and order processing such as in lieu of; including, but not limited to reviewing patient demographics and sample collection. Evaluate insurance and verify billing information. <
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Job Description Position Overview The Pre-Analytical Laboratory Technician II is responsible for preparing samples for analysis, recording, and/or verifying patient’s information. This role is primarily responsible for performing duties related to accessioning, sample management, problem resolution, data entry, and specimen storage with high degree of proficiency. A successful candidate would be expected to have the ability to swiftly pick up new laboratory process that they are trained in due to experience gained in previous laboratory roles. Potential candidates should be able to demonstrate that they have good documentation practices (GDP) knowledge. Shift: Tuesday - Saturday, 9:00am – 5:30pm Essential Duties Include, but are not limited to, the following: Perform laboratory tasks, as assigned. Clean and organize common lab areas and take responsibil
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