Analytical Engineer in United States

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: The App Messaging Product Manager owns the vision, strategy, roadmap, and performance of app messaging capabilities that support customer engagement across digital channels. This role serves as the primary liaison between business, marketing, technology, and analytics teams, translating customer and business needs into scalable product solutions. The Product Manager drives prioritization, experimentation, measurement frameworks, and continuous optimization to improve engagement, adoption, and customer experience. Success in this role requires strong product leadership, stakeholder management, analytical rigor, and the ability to influence cross-functional teams to deliver high-impact outcomes. Required Qualifications · 5&#43; years of digital product management or ownership, or customer engagement experience. · 5&#43; years of experience defining product strategy, roadmaps, and requirements for customer-facing digital products. · 5&#43; years of experience working in healthcare, retail, loyalty, or customer engagement environments. <sp

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary In this role as Manager – FP&A business, you will report to the Lead Director of Service Ops FP&A. You will be responsible for consolidating, reporting and the creation of management presentations and or talking points for forecasts, budget and the strategic plan for the Operations Enablement & Provider Services (OEPS) org within Service Ops. This role will work closely with various leaders within the Business, as well as Finance, ensuring accurate reporting of forecasts, budgets, and strategic plans and providing senior leadership with the appropriate level of detail. The successful candidate should demonstrate strong communication skills, the skill to develop a deep understanding of expense allocations, and the ability to consolidate and report results to business partners and management. You must be able to multi-task and prioritize in a fast-paced environment, work independently with guidance from management, and deliver financial reporting and analysis on both regular and ad hoc frequencies, including creating financial models and supporting exhibits in PowerPoint. We are looking for individuals with a solid understanding of budgeting, forecasting, and analytical financial reporting. Required Qualifications Minimum of 5 years of experience Ability to develop reporting and consolidate results to business p

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Seeking a Senior Analyst to join the Group Medicare Advantage Actuarial team to assist with Part C analysis & pricing. More specifically, this role will be responsible for the following: Updating assumptions used in pricing Part C Maintaining existing portfolio view reporting Supporting plan sponsor experience refund reconciliations and UW data/reporting needs Collaborating with Underwriting on plan sponsor pricing opportunities for both new business and renewal business Required Qualifications Bachelor’s degree along with 3&#43; years related experience Prior healthcare experience Experience working with large and detailed data sets Preferred Qualifications Strong communication and collaboration skills Solid technical, analytical, and creative problem-solving skills Be organized, data driven, statistically minded and demonstrate an attention to detail Be self-motivated, intellectually curious with a desire to continuously improve processes Be adaptable as business needs and priorities evolve Familiarity with Medicare Part C and/or Group pricing Education Bachelor’s degree or higher in act

Are you ready for your next career challenge? Leidos has an opportunity for a seasoned System Administrator at Davis Monthan AFB, AZ. Candidates must possess a current TS/SCI security clearance in order to be considered. In this role you will be responsible for overseeing JWICS operations for all Wing and subordinate unit SCIFs on site. You will also be responsible for all Site-wide JWICS Command, Control, Communications, Computers, and Intelligence (C4I) and perform JWICS specific touch maintenance to install and maintain computers, servers, and all JWICS related software and hardware. (This also includes but is not limited to account management, network storage, local authentication servers, file servers, user privileges, local group policy, local software testing, restoration operations, contingency planning, and local backups.) Ensure security patching is completed and locally downloaded, and also push JAVA, NOTAMS, and TCNO patches the AF JWICS Enterprise is unable to perform remotely. Primary Responsibilities: Work directly with users at the site and liaise daily with the ESD and ESC AF to help resolve user and network related issues as well as maintain the integrity of the Site domain. Perform investigative administration operations in support of the Cyber Security Operations Center for malware, spyware, Trojans, or unauthorized software that gets detected on any device at the Site. The position is full time daily operation and may require after hours and weekend duty via on-call support. Work autonomously with minimal oversight as well as in conjunction with multiple personnel in the fulfillment of the individual employee’s functions. Must have the ability to gather facts and use effective analytical and evaluative methods to assess information, plan the sequence of actions necessary, make sound decisions and solve a variety of security problems. Thorough understanding of their respective po

Become a part of our caring community The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on the remediation of identified issues from the Resolution team root cause hub to resolve member abrasion points on a diverse scope. You will report to the Director, Strategy Advancement. As the Consumer Experience Lead you will Lead strategic and operational initiatives that improve business performance, organizational effectiveness, and cross-functional execution Analyze complex issues to identify root causes, uncover improvement opportunities, and recommend sustainable solutions. Build relationships, influence decision-making at all levels, and communicate recommendations Manage escalations, resolve issues, and accountability for commitments, deliverables, and action items across teams Strengthen operations through documentation, strategies, self-service resources, process optimization, and decision-support materials for leadership Use your skills to make an impact Required Qualifications Bachelor's degree 3 or more years of experience in Healthcare operations 3 or more years of project management experience 3 or more years of project leadership experience Demonstrated analytical with experience identifying root cause and implementing sustainable solutions Live in EST or CST time zone Preferred Qualifications Experience supporting executive leadership teams or enterprise-wide strategic initiatives Experience with operation excellence, process improvement methodologies, or business transformation efforts Demonstrated Executive leadership experience with communication strategy skills <p style="text-align:inheri

ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly impact patients. All over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues can grow and develop a career that offers both individual and company success; be part of an ownership culture that values diversity and where all colleagues are energized and engaged; and can impact the health and lives of millions of people. Pfizer, a global leader in the biopharmaceutical industry, is continuously seeking top talent who are inspired by our purpose to innovate to bring therapies to patients that significantly improve their lives. Pfizer has a deep heritage and leadership in cardiovascular disease, and we are committed to providing breakthroughs that change patients’ lives. An integral part of Internal Medicine, the Cardiology (CARD) Team’s mission is to promote a breakthrough therapy for patients suffering from NVAF or VTE. The CARD Health & Science Professional (HSP) is responsible for increasing territory sales and relationship development with assigned customers and accounts by engaging in product promotion and determining the best strategies to manage their business. A CARD HSP should possess customer, market, and business acumen, analytical skills, and strong product and disease state knowledge; demonstrate ability to drive sales, promotional and strategic business development and management skills, and in-depth customer engagement expertise both in-person and virtually; demonstrate outstanding communication and teamwork skills; be adept in the operation of digit

Role Summary Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly impact patients. All over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues can grow and develop a career that offers both individual and company success; be part of an ownership culture that values diversity and where all colleagues are energized and engaged; and can impact the health and lives of millions of people. Pfizer, a global leader in the biopharmaceutical industry, is continuously seeking top talent who are inspired by our purpose to innovate to bring therapies to patients that significantly improve their lives. Pfizer is advancing in Neuroscience, and an integral part of the Migraine Team’s mission is to promote a breakthrough therapy for patients suffering from migraine. The Neuroscience Health & Science Professional (HSP) is responsible for increasing territory sales and relationship development with assigned customers and accounts by engaging in product promotion and determining the best strategies to manage their business. The HSP should possess customer, market, and business acumen, analytical skills, and strong product and disease state knowledge; demonstrate ability to drive sales, promotional and strategic business development and management skills, and in-depth customer engagement expertise both in-person and virtually; demonstrate outstanding communication and teamwork skills; be adept in the operation of digital and virtual tools; and be effective at working remotely in collaboration with cross-functional internal teams to address c

SpyCloud is on a mission to make the internet a safer place by disrupting the criminal underground. SpyCloud’s solutions thwart cyberattacks and protect more than 4 billion accounts worldwide. Cybersecurity is an exciting, evolving space, and being at the forefront of the fight to disrupt cybercrime makes SpyCloud a special place to work. If you’re driven to align your career with a fantastic mission, look no further! The Director of Strategic Alliances - Consumer Products will be responsible for the success of partner relationships. In this role, you will build scalable processes to understand, predict, and maximize partner value, usage and revenue. What You'll Do: Management of Key Consumer Security Alliances Cultivate relationships with key stakeholders and company executives ensuring effective governance of the relationship, protecting SpyCloud’s assets, and maximize the long-term value for SpyCloud, our partners, and their customers. Develop and execute detailed road maps for go to market strategy with partners to identify and create a plan to improve partner revenue. Develop partner value propositions and playbooks, partner programs, marketing strategy, and partner agreements. Track progress, including reporting of the KPIs, as well as leading periodic health checks. Report out on a regular weekly, monthly, and quarterly cadence to all key stakeholders, with a strong analytical approach and crisp communication style. Partner Product Management Guide partner product and development teams through onboarding, integration and maintenance of SpyCloud solutions in partner ecosystem Leverage partner relationships to discover desired features/product enhancements, industry changes and developing technology requirements. Requirements: At least 5 years of combined in Partnerships,Business Development and/or Strategic Account Management experience. Startup experience preferred. Mean

Our Purpose Mastercard powers economies and empowers people in 200&#43; countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Senior Analyst, Finance Business Partner Overview: Mastercard's Technology (TECH) Business Unit operates the company's integrated global payments processing network. TECH uses its expertise to make payments safe, simple, and smart. The TECH Finance team provides financial guidance, analysis, planning, and governance support that enables business leaders to make informed decisions while ensuring compliance with financial reporting requirements. As part of the Software Capitalization team, this role offers a unique opportunity to support Mastercard's internally developed software portfolio and manage the end-to-end software capitalization lifecycle. This includes partnering with stakeholders across Technology, Finance, and Controllership to evaluate technology initiatives, support capitalization decisions, and ensure compliance with Mastercard policy and applicable accounting guidance, including ASC 350-40. The team is also responsible for forecasting and budgeting capitalization-related costs, analyzing actual results against plan, identifying financial risks and opportunities, and providing insights to leadership. Success in this role requires strong analytical skills, collaboration across diverse teams, and the ability to understand both financial concepts and evolving technology initiatives. This role is design

At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Gilead and help create possible, together. Job Description Gilead Sciences' Protein Therapeutics Department has an exciting opportunity for a highly motivated Scientist to join the Protein Science group. In this role, the successful candidate will support multidisciplinary research teams through the generation, purification, bioconjugation, and analytical characterization of biologic molecules. The ideal candidate will possess hands-on expertise and a strong scientific foundation in antibody purification, bioconjugation, and protein analytics. Working collaboratively with project teams, this individual will help advance therapeutic discovery programs by generating and characterizing candidate molecules and surrogate research tools. They will contribute

About the role As a Pricing Strategist focused on GTM, you will help shape pricing strategy for B2B enterprise customers across our product portfolio. Working within Finance and partnering with GTM, Sales, and Product, you will focus on pricing analytics, price performance, and the effectiveness of credit programs while contributing to broader commercial strategy. In this role, you will Build regular pricing-performance reviews, analyze discounting and concessions, and turn findings into better pricing guidance. Develop commercial strategies and pricing programs for customer segments such as education, startups, and government. Define objectives and success measures for credit programs and promotions, and evaluate their return on investment. Translate segment goals and product pricing strategy into scalable pricing frameworks and commercial structures. Partner on strategic enterprise deals to align commercial proposals with sound deal economics and pricing strategy. You might thrive in this role if you Approach problems from first principles, identify root causes, and develop clear options for stakeholders. Work effectively through ambiguity and differing perspectives. Understand how sales organizations operate and collaborate well across GTM strategy, Finance, and Product. Bring relevant experience from consulting, strategy and operations, or pricing, particularly work involving analytical teams. Experience with pricing analytics, pricing frameworks, discounting guardrails, or new-product pricing is helpful, but a strictly pricing-specific background is not required. About OpenAI OpenAI is an AI research and deployment company dedicated to ensuring that general-purpose artificial intelligence benefits all of humanity. We push the boundaries of the capabilities of AI systems and seek to safely deploy them to the world through our products. AI is an extremely powerful tool that must be created with safety and human needs at its core, and to achieve our mission, we mu

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Provider Digital Analytics and Intake Team is hiring a Business Analytics Specialist to support the reporting and data analytic needs for value capture and metric driven management of Aetna’s provider digital tools. This successful candidate will partner and support activities of the Provider Digital business team and advise on insights to drive value in digital tool offerings. Performs data analysis and issue research as well as participates in business and technical projects to assess the impact of that work on the reporting and data. Consults with internal clients to identify opportunities to implement data solutions to business problems at an intermediate level. Collaborates with business partners to understand their problems and goals to help solve by developing predictive modeling, statistical analysis, data rereports, and performance metrics. Participates in the implementation of information strategy and development of information products to ensure operational objectives and other strategic business initiatives are met. Ability to structure data analysis, driving analytics insights and analytical solutions to help determine the best analytical solution. Consults on the creation of analytics solutions that effectively weigh business and technical tradeoffs using an intermediate understanding of business strategy as well as relevant

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary At CVS/Aetna, we're pioneering a total approach to health and wellness. As a Decision Scientist on the Analytics & Behavior Change team, you'll build industry-leading analytics, data, and technology platforms to help reimagine health care. This position will play a critical role within a cross-functional team, delivering powerful solutions. Utilization Management (UM) ensures consistent delivery of the right care, in the right setting, by the right people. The UM Data Science team leverage data, analytics and AI solutions to transform UM operations and optimize provider and member experience. Develop analytic solutions to optimize Utilization Management in healthcare Explores, examines and interprets large volumes of data in various forms Performs analyses of structured and unstructured data to solve moderately complex business problems Utilizing advanced statistical techniques and mathematical analyses Develops data structures and pipelines to organize, collect and standardize data that helps generate insights and addresses reporting needs Uses data visualization techniques to effectively communicate analytical results and support business decisions Creates and evaluates the data needs of assigned projects and assures the integrity of the data </u

ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly impact patients. All over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues can grow and develop a career that offers both individual and company success; be part of an ownership culture that values diversity and where all colleagues are energized and engaged; and can impact the health and lives of millions of people. Pfizer, a global leader in the biopharmaceutical industry, is continuously seeking top talent who are inspired by our purpose to innovate to bring therapies to patients that significantly improve their lives. Pfizer is advancing in Neuroscience, and an integral part of the Migraine Team’s mission is to promote a breakthrough therapy for patients suffering from migraine. The Neuroscience Health & Science Professional (HSP) is responsible for increasing territory sales and relationship development with assigned customers and accounts by engaging in product promotion and determining the best strategies to manage their business. The HSP should possess customer, market, and business acumen, analytical skills, and strong product and disease state knowledge; demonstrate ability to drive sales, promotional and strategic business development and management skills, and in-depth customer engagement expertise both in-person and virtually; demonstrate outstanding communication and teamwork skills; be adept in the operation of digital and virtual tools; and be effective at working remotely in collaboration with cross-functional internal teams to address customer needs