Audit Analyst (Remote)

by Irma Moore | Nov 8, 2024 | Uncategorized

Are you looking to accelerate your career without having to hide your authentic self – a place where you can be you? A career that’s making a bigger impact on the world?  At OneDigital, we are on a mission to help people do their best work and live their best lives.  From the services we offer to the way we show up for each other each day, we are fueling dreams, achieving big goals, and embracing each other’s truest selves.

We understand that pursuing a new job is a big deal.  Maybe you’re afraid you won’t fit in.  Well, here’s the good news.  For us, the days of “fit in to get in” are over and being different is not a barrier to getting ahead. Greatness comes in all shapes, sizes, colors, and experience levels. If you are looking for a people-first culture that is wired for growth, driven to serve, and totally committed to having your back, give us a shot. Your best life awaits.

Our Newest Opportunity: 

Summary:

As an Audit Analyst, this individual will be responsible for reporting, auditing, and evaluating financial offers, as well as the development and maintenance of our analytic deliverables.  Typical functions include, but are not limited to, gathering, manipulating and summarizing data for plan reviews, mid-year reports, benchmarking reports and providing ongoing analysis throughout the year. Analyzing claims data and reporting on possible future costs will be critical functions for this role.  This position will project manage the development, preparation and interpretation of client audit deliverables. 

The analyst will attend client & broker meetings to communicate complex financial concepts and support the delivery of financial audit analysis to the client or prospect.  The analyst will be an internal subject matter expert on complex financial concepts to include benefit underwriting and analytics.

The analyst will work independently and with the audit team each year to reach departmental goals.  The analyst must regularly report progress on projects and organization initiatives to leadership.

Essential Duties and Responsibilities (include but are not limited to):

• Collect, analyze and interpret pharmacy data for client reports. Typical reports include:  monthly claim reports, quarterly plan reviews, mid-year plan reviews, benchmarking reports, and post-renewal reports.
• Conduct plan performance analysis.
• Develop and improve client reports and other client deliverables.
• Provide proactive departmental leadership for client reporting deliverables and renewal negotiation practices.
• Provide continuous departmental leadership in identifying and maintaining the best data sources and analytical tools.
• Conduct qualitative and/or quantitative studies using spreadsheets, databases and customized applications.
• Conduct group and individual education sessions for the Consulting team, clients and prospects on complex financial concepts to include benefit underwriting and analytics.
• Partners with team members to resolve internal and external client escalations in a timely fashion.
• Participate in the development of department deliverables; contribute to efforts to steer the department in new and improved directions

Qualifications, Skills and Requirements:

• Strong attention to detail
• Strong verbal and written communication skills
• Ability to work independently as well as in a team environment
• Strong organizational skills
• Positive attitude
• Strong project management skills
• Ability to thrive in fast-paced environment
• Ability to establish and maintain collaborative working relationships with others of all levels
• Highly proficient in Microsoft suite and SQL Server

Education, Training and Experience:

• 3+ years of experience as a PBM underwriter or auditor for health and welfare plans.
• An earned bachelor’s degree in mathematics, actuarial, computer science or finance is preferred.

The typical base pay range for this role nationwide is $60,000 to $75,000 per year.  

Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company’s performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs. You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts.

To learn more, visit: www.onedigital.com/careers

Thank you for your interest in joining the OneDigital team!

Compensation Analyst

by Irma Moore | Nov 8, 2024 | Uncategorized

Please note: This position will be eligible for remote work after a set training period.

Job Summary: Compensation analyst researches and prepares changes to existing compensation programs, policies, processes and procedures; ensures alignment with the organization’s philosophy and strategic plan to attract and retain the organization’s talent, and ensures compliance with applicable regulations.

Minimum Education: Bachelor’s Degree in Human Resource Management or closely related field, strongly preferred.

Licensure, Registration and/or Certification: Certified Compensation Professional (CCP) preferred.

Work Experience: 2 years of related experience, healthcare preferred.

Knowledge, Skills and Abilities: Demonstrated ability to maintain a high degree of confidentiality. Working knowledge of ERP, MS Excel, Access, Word and PowerPoint. Working knowledge of Human Resources Policies and Procedures. Working knowledge of HR employment, compensation and related laws. Effective interpersonal, written and oral communication skills. Ability to organize and prioritize work in an effective and efficient manner ensuring timely completion of assigned projects. Ability to be detail oriented as might be required in the examination of numerical data.

Essential Functions and Responsibilities: Evaluates internal equity via market pricing analysis to ensure market competitiveness. Implements market adjustments as required. Analyzes and prepares recommendation proposals for salary and market reviews. Utilizes HRIS system(s) to build and/or make changes related to jobs, positions, pay adjustments, approved proposal outcomes, to research discrepancies, and to produce data/documentation/reports as requested. Evaluates SFHS job descriptions collaborating with management to update and maintain compliance. Evaluates, analyzes, updates SFHS job classes, makes recommendations for job consolidation, FLSA classification, independent contractor status, upgrades/downgrades, and other job clarifications for all SFHS entities. Implements required actions and documentation. Reviews new job class requests proposing appropriate actions; implementing as appropriate. Produces various reports and audits. Performs special projects and ad hoc reports as needed. Participates in salary surveys to collect and analyze information on the organization’s competitive position. Gathers data per requirements, determines appropriate matches for assigned client areas, and submits information to third party survey administrators. Conducts analysis based on the survey results and keeps relevant information on salary evaluations. Assists with design, development and administration of the performance management/appraisal programs, updates all electronic information, and performs related annual management training. Provides support to managers, employees, and HR colleagues in the interpretation and administration of the organization’s compensation programs, policies and procedures. Ensures compliance with state and federal laws governing compensation practices. Assists in the preparation of the annual compensation budget proposal. Assists with the base salary increase by conducting research and analyses. Implement actions required for base salary increase program and processes. Coordinates and manages weekly Vacancy Review Committee agenda and required paperwork documentation. Processes vacancy review committee actions as needed.

Decision Making: Ability to independently carry out non-routine procedures under constantly changing conditions.

Working Relationships: Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works with Director level or above frequently.

Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job.  This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

Salesforce Business Systems Analyst

by Irma Moore | Nov 8, 2024 | Uncategorized

Position Purpose

As a direct report of the Senior Director, Product Development, the Salesforce Business Systems Analyst (BSA) is primarily responsible for solving and implementing Salesforce solutions, supporting end users, analyzing business requirements, to drive business growth and success for our network of 200+ agencies and the National office.

You will work closely with the Senior Director, Product Development as a member of the Salesforce development and administration team within the Information Technology department of Big Brothers Big Sisters of America (BBBSA) to ensure solutions meet the needs of the organization. BSAs are supporting the life cycle of the solution implementations. The ideal candidate will have an advanced background in Salesforce, business analysis, and project management. The candidate will also possess excellent communication and leadership skills.

Career Opportunity Closing Date: Until Filled

Location: United States (100% REMOTE)

Travel: Approximately 5%

Essential Duties and Responsibilities

Salesforce

• Performing Salesforce admin/UAT/config/data migration/integration/training
• Provide ongoing support to business stakeholders and end users on Salesforce functionality and best practices (Tier 3 support)
• Designing and implementing Salesforce solutions and functionalities
• Designing and implementing Salesforce reports and dashboards
• Stay current with Salesforce updates, releases, and industry trends to ensure the organization is leveraging the platform to its fullest potential
• Must have: Active Salesforce Certification (cannot be expired), Salesforce Certified Administrator, or Salesforce Certified Platform App Builder

Analysis

• Reviewing, analyzing, and evaluating business systems, models, requirements, and needs
• Identify opportunities for process improvement and optimization within Salesforce and related systems
• Defining requirements and converting them into workable user stories
• Preparing key documentation such as user stories, business processes, process flow analysis, requirements definitions, data models, detailed functional designs, ERDs, executive summaries, and project postmortems
• Participating in pre-project engagements with the Product Development Team, business stakeholders, and vendors to ascertain business requirements, then recommending best practice solutions based on business needs

Project Management

• Lead Salesforce initiatives, including managing project timelines and resources
• Effectively facilitate and manage business stakeholder-related meetings and workshops driving toward stakeholder satisfaction and success
• Analyzing/identifying areas of risk, collaborating on solutions, and developing plans to minimize risk and communicate to stakeholders
• Working closely with Technical Leads to ensure the business requirements are accurately translated into technical requirements, and the team has all the information required for action

Culture

• Demonstrates a commitment to cultural diversity and inclusion that reflects BBBSA’s commitment to JEDI (justice, equity, diversity, and inclusion).
• Champions internal and external culture of the organization focusing on being a JEDI focused youth empowerment and equity organization.
• Provides consistent follow-up regarding assigned projects and after meetings.
• Manages related and other duties as assigned in support of department and business needs.

Education & Related Work Experience

Education Level: Bachelor’s degree in a related field, such as computer science, information systems, or business administration, or equivalent combined work experience

Years of Related Work Experience: A minimum of 3-5 years of relevant experience as a Salesforce Administrator and Business Analyst.

Skills and Knowledge: 5+ Years of Experience in Software; Active Salesforce Certifications (cannot be expired), Salesforce Certified Administrator, or Salesforce Certified Platform App Builder; Advanced understanding of Salesforce platform capabilities, features, and best practices; Proficient in Salesforce configuration, including custom objects, fields, flows, validation rules, and other standard and custom Salesforce functionalities; Experience in end-to-end implementation of Salesforce CRM itself as well as with different systems; Experience with agile development methodologies; Active belief and practice in documentation; Advanced analytical and problem-solving skills; Exceptional communication and interpersonal skills, with the ability to work effectively with business stakeholders, technology teams, and other stakeholders at all levels of the organization; Ability to manage multiple priorities and projects simultaneously in a fast-paced, dynamic environment; Ability to work independently and proactively, taking ownership of tasks and driving them to completion; Demonstrates enthusiasm towards continued personal/professional development; Ability to use project management tools to manage work.

JEDI Commitment

At Big Brothers Big Sisters of America, justice, equity, diversity, and inclusion (JEDI) is an integral part of our values and mission. We recognize, affirm, and celebrate the diverse backgrounds, lives, and experiences of all of our stakeholders, including youth, families, donors, volunteers, and staff. We ensure the opportunity for all voices and perspectives to be heard and honored. In the workplace, we foster an environment where all people can be their best selves. We affirm that every person [regardless of ability, age, cultural background, ethnicity, faith, gender, gender identity, gender expression, ideology, income, national origin, race or sexual orientation, marital or veteran status] has the opportunity to reach their full potential. We strive to realize the full potential that is within all of us by ensuring that all voices and perspectives are heard and honored.

Equal Employment Opportunity

BBBSA provides equal employment opportunities to all qualified individuals without regard to race, creed, color, citizenship, religion, national origin, age, sex, familial or marital status, pregnancy, military or veteran status, sexual orientation, gender identity or expression, genetic information, disability, or any other legally-protected status in accordance with applicable local, state, and federal laws, regulations, and ordinances.

Americans with Disabilities Act

Employee must be able to perform all essential job functions, with or without reasonable accommodation.

Job Responsibilities

The above statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential duties and responsibilities of the job and should not be considered as a detailed description of all the work requirements of the position. BBBSA may change the specific job duties with or without prior notice based on the needs of the organization.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Big Brothers Big Sisters of America is directly recruiting and hiring for this position. We are not engaging any staffing/recruitment firms or agencies for this position. If any candidate profile/resume/identifying information is sent to Big Brothers Big Sisters of America and/or Big Brothers Big Sisters agencies we will not pay any referral or firm fees in relation to this information.

Clinical Research Associate

by Irma Moore | Nov 8, 2024 | Uncategorized

 RQM+ is the leading MedTech service provider with the world’s largest global team of regulatory and quality experts. Building upon 40 years of regulatory expertise, we also provide comprehensive clinical trial, lab and reimbursement services – reducing risk and supporting market access throughout the entire product lifecycle for medical devices, digital therapeutics and diagnostics. With more former FDA, Medicines and Healthcare Products Regulatory Agency (MHRA) and notified body regulators than any other firm, the RQM+ team has deep expertise in all clinical specialties. RQM+ currently works for 19 of the top 20 medical device manufacturers and seven of the top 10 IVD companies.

The Clinical Research Associate (CRA) participates in the preparation and execution of pre-market to post market clinical trials. Oversees the progress of clinical investigations by conducting site qualification, initiation, and interim close out visits to clinical sites. Monitors clinical trials in accordance with Good Clinical Practices and procedures set forth by RQM+ and sponsors. Works closely with the Clinical Trial Manager (CTM) and/or Lead CRA to ensure all monitoring activities are conducted according to study requirements.

Primary Responsibilities

• Participates in the investigator recruitment process and performs site qualification visits of potential investigators.
• Evaluates the capability of the site to successfully manage and conduct the clinical study.
• Collaborates with the start-up department to coordinate activities with the site in preparation for the initiation of the study.
• Obtains regulatory documentation for successful implementation, monitoring, and evaluation of clinical trials.
• Works with start-up, project team and site staff to obtain regulatory (IRB/IEC) approval of study specific documents.
• Performs study initiation activities, reviewing with the site personnel the protocol, regulatory issues, study procedures, and provides training on completion of the eCRF, monitoring activities and study close-out activities.
• Trains site staff on the EDC system and verifies site computer system.
• Assists in resolving any issues to ensure compliance with site file audits in conjunction with ISS.
• Assures adherence to Good Clinical Practices, investigator integrity, and compliance with all study procedures through on-site monitoring visits.
• Performs validation of source documentation as required by sponsor and prepares monitoring reports and letters per the timelines defined in RQM+ SOPs by using approved templates and reports.
• Documents accountability, stability and storage conditions of clinical trial materials as required by sponsor.
• Performs investigational or commercial product inventory and accountability (as applicable)
• Ensures return of unused study product to designated location or verifies destruction as required.
• Reviews the quality and integrity of the clinical data through in-house review of electronic CRF data and on-site source verification.
• Works with sites to resolve data queries.
• May review protocols, eCRFs, study manuals and other related documents, as requested by the Clinical Trial Manager and/or Lead CRA.
• Serves as primary contact between RQM+, sponsor and investigator; coordinates all correspondence; ensures timely transmission of clinical data with the study site and technical reporting, as requested.
• Performs study close-out visits per the study specific Clinical Monitoring Plan including final study product reconciliation and disposition, site study file reconciliation, data query resolution through to database lock and resolution of outstanding action items.
• Assists with, and attends, Investigator Meetings for assigned studies.
• Authorized to request site audits due to data integrity concerns.
• Attends study-related, company, departmental, and external meetings, as required.
• Ensures internal and study-related trainings are completed per RQM+ process and/or study timelines, including updating the study level trial management system.
• Ensures all study deliverables are completed per RQM+ and study timelines.
• Serves as mentor for junior staff and those new to the company and/or study.
• Performs other duties, as requested

Requirements

• Bachelor’s Degree in scientific discipline or health care preferred.
• Requires at least 2 years of year of on-site monitoring experience.
• 2-3 years in-house or remote monitoring experience
• Medical Device clinical trials experience is highly desirable
• Equivalent combination of education, training and experience considered
• In-depth knowledge of, and skill in applying, applicable clinical research regulatory requirements, i.e., Good Clinical Practice (GCP) and International Conference on Harmonization (ICH) guidelines. MedTech regulations and active experience preferred.
• Strong therapeutic and protocol knowledge as provided in company training.
• Computer skills including proficiency in the use of Microsoft Word, Excel and PowerPoint and use of a laptop computer and mobile technology required.
• Written and verbal communication skills including command of English language.
• Organizational and pragmatic problem-solving skills
• Effective time and financial management skills
• Ability to establish and maintain effective working relationships with coworkers, managers, sponsor staff and sites.
• Ability to travel up to 50%

Behaviours

• Action-Oriented, Approachability, Building Effective Teams, Business Acumen, Career Ambition, Composure, Courage (Managerial), Customer Focus, Decision Quality, Informing, Integrity & Trust, Interpersonal Savvy, Planning

Supervisory Responsibilities

• This position does not have supervisory responsibilities.

Application Developer (SQL, R, Python/Tkinter) (Part-time, Remote)

by Irma Moore | Nov 8, 2024 | Uncategorized

About Us

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.

At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel!

We are seeking an intermediate-level Application Developer to support and enhance our statistical application. This role involves maintaining the SQL database, integrating new features, and optimizing performance to ensure seamless data flow between the backend and frontend. The developer will also assist in exporting results into standardized templates. This is a part-time role (up to 20 hours per week), ideal for someone with strong SQL, R, and Python skills.

Responsibilities

·       Maintain and troubleshoot the SQL database, including managing tables and ensuring data integrity as files are loaded into the frontend interface.

·       Develop new features and functions in SQL and R, ensuring integration with the application’s frontend interface (built with Python/Tkinter) in collaboration with the statistical SMEs.

·       Set up and maintain tables in the SQL database to support accurate and efficient data flows for statistical match functions and template exports.

·       Optimize SQL queries and R code to ensure database performance and speed are maximized.

·       Collaborate with the IT team for server-related needs, ensuring database stability and addressing any backend/server requirements.

·       Independently test new code and features to ensure functionality, reliability, and performance.

·       Document backend and frontend work thoroughly, including creating user manuals, technical diagrams, and code comments.

·       Provide troubleshooting support and improvement recommendations for the application’s backend processes and data exports

Requirements

·       Bachelor’s or Associate’s degree in Computer Science, Information Technology, or a related field

·       3+ years of experience in development, specifically in SQL database management, R scripting, and Python (Tkinter) for frontend connections.

·       Proficiency with SQL Server Management Studio for database management, troubleshooting, and performance tuning.

·       Strong understanding of database optimization techniques and best practices for data flow and code efficiency.

·       Experience with creating and managing standardized data export templates.

·       Ability to work collaboratively with an IT team for server support as needed and Statistical team for application features.

·       Strong documentation skills, with experience in writing technical manuals, diagrams, or code documentation.

·       Excellent problem-solving skills and ability to work independently on a part-time basis.

·       Software development experience is preferred.

IntegrityM is an Equal Opportunity Employer and we do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, and gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.