Risks/Issues Lead – Remote

by Irma Moore | Aug 9, 2024 | Uncategorized

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

We are seeking a highly motivated and results-oriented professional to join our VA Digital Transformation System otherwise known as the OMEGA project team as the Risks and Issues Lead. In this critical role, you will be responsible for proactively identifying, assessing, mitigating, and resolving risks and issues throughout the entire project lifecycle. You will play a vital role in ensuring the project stays on track, meets deadlines, and achieves its overall objectives.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges

Primary Responsibilities: 

• Develop and maintain a comprehensive risk management plan for the program
• Analyze the likelihood and impact of each identified risk
• Develop and implement effective mitigation plans to minimize the impact of risks
• Coordinating mitigation plans across the stakeholders
• Track and monitor the status of all risks and issues
• Conduct regular risk assessments to identify potential threats, vulnerabilities, and roadblocks
• Proactively communicate risks and issues to project stakeholders, including escalation to senior management when necessary
• Lead the development and execution of contingency plans for high-impact risks
• Tracking mitigation plans and reporting on progress towards resolving identified risks and issues
• Analyze trends in risks and issues to identify root causes and implement preventative measures
• Work collaboratively with all project team members to foster a proactive risk management culture
• Conduct periodic Risk Management trainings
• Document all risk management activities and maintain clear and concise records
• Stay up to date on industry best practices for risk management in IT projects
• Excellent analytical and problem-solving skills
• Solid communication, interpersonal, and collaboration skills.
• Ability to work effectively under pressure and manage multiple priorities

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications: 

• 5+ years of experience in IT project management with a Solid focus on risk management
• Experience in developing and implementing risk management plans
• Proficient in project management methodologies (e.g., Agile, Waterfall)
• Business Process Management Certification, or Six Sigma Certification, or Lean Certification or CMMI knowledge
• Ability to obtain and maintain a government security clearance, if required 

Preferred Qualification: 

• Experience with risk management tools and techniques (e.g., FMEA, SWOT analysis)
• Project Management Certification (PMI)

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Cloud Network Engineer – Remote

by Irma Moore | Aug 9, 2024 | Uncategorized

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

We are looking for a skilled AWS Cloud Network Engineer to join our team. The ideal candidate will have extensive experience with Amazon Web Services (AWS) and a solid background in network design, implementation, and management. As an AWS Cloud Network Engineer, you will be responsible for designing and managing our AWS cloud network infrastructure to ensure high performance, security, and scalability. 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities: 

• Design, deploy, and manage scalable and secure AWS cloud network architectures
• Configure and manage VPCs, subnets, route tables, NAT gateways, and security groups
• Implement and manage AWS networking services such as ELB, Direct Connect, and Transit Gateway
• Implement robust security measures including network ACLs, security groups, and AWS WAF and CloudFront
• Conduct regular security assessments and audits to identify and mitigate potential risks
• Monitor network performance and troubleshoot issues to maintain optimal performance
• Develop and maintain automation scripts using Terraform, or Ansible for network deployment and management
• Collaborate with DevOps, Security, and Development teams to support cloud-based applications and services
• Provide technical support and troubleshooting for AWS network issues
• Stay updated with the latest AWS networking technologies, trends, and best practices

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications: 

• 3+ years of experience in AWS cloud network engineering or a similar role
• 3+ years of experience in AWS networking services including VPC, Direct Connect, ELB, Transit Gateway, and Route 53
• 3+ years of experience in networking concepts and protocols (TCP/IP, DNS, VPN, BGP, etc.)
• 3+ years of experience with network security practices and tools
• 3+ years of experience in scripting and automation tools (AWS CloudFormation, Terraform, Ansible, Python, etc.)

Preferred Qualifications:

• Networking certifications such as CCNA, CCNP, or equivalent
• Relevant AWS certifications such as AWS Certified Advanced Networking – Specialty, AWS Certified Solutions Architect, or AWS Certified SysOps Administrator
• Familiarity with container networking (Kubernetes, Docker)
• Proven ability to work independently and as part of a team

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.  

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.   

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.  

Coding Payment Resolution Specialist PFS Remote

by Irma Moore | Aug 8, 2024 | Uncategorized

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and coding judgment within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center.  Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials. Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. in addition to promoting departmental awareness of coding best practices. This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

ESSENTIAL FUNCTIONS

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, HCPCS, Modifiers and CPT-4 procedural codes for CMS-1500 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.

Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.

Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.

Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.

Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

MINIMUM QUALIFICATIONS

High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years’ experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.

Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least two (2) years of physician/professional or hospital outpatient coding experience.

Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).

Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.

Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.

Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.

Must be comfortable operating in a collaborative, shared leadership environment.

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards.

Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.

Manual dexterity is needed to operate a keyboard. Hearing is needed for extensive telephone and in person communication.

The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.

Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.

Must possess the ability to comply with Trinity Health policies and procedures.

This is a remote position.

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Technical Education Consultant

by Irma Moore | Aug 8, 2024 | Uncategorized

FICO (NYSE: FICO) is a leading global analytics software company, helping businesses in 100+ countries make better decisions. Join our world-class team today and fulfill your career potential!

The Opportunity

“Seeking a technically sound individual with a prior background in software programming who thrives in educating others. As part of our Education team, you will work closely with our clients to ensure that they are enabled on our software applications:  FICO Platform Capabilities, Blaze Advisor, and Decision Management Platform Streaming. FICO Platform Capabilities include Decisioning, Business Outcome Simulation, Feature Management, Data Flow, Contextual Processing, Visualization, Orchestration, and Building User Interface. This role is high-engagement, high impact, and high-reward as it combines the ability to exercise both technical and pedagogical skills at the same time.“– Sr. Director, Education

What You’ll Contribute

• Training delivery activities include teaching FICO Platform capabilities, Blaze Advisor, and Decision Management Platform Streaming courses domestically and globally, securing all physical resources, and coordinating travel plans with FICO’s clients and FICO implementation team.
• Curriculum development activities to include planning, researching, developing applications, and producing technical training materials for new software products and updated features, including lab exercises, instructional texts, technical reference information, and presentations.
• Work closely with Platform Education Director, Product Management and Product Documentation to develop technical courses that are educational and effective for clients, internal employees, and partners.
• Demonstrate competence and confidence in the planning, design, and management of curriculum development projects and processes, and will contribute directly as author and/or editor, where valuable, appropriate, or required.
• Responsible for classroom setup, network and computer setup, troubleshooting, and interactions with client management. Post-delivery responsibilities include completing detailed trip reports, notification of client issues, and review with appropriate individuals within FICO.

What We’re Seeking

• Proven background in Object Oriented Programming or a degree in information systems, computer science, operations research, statistics, mathematics, physics artificial intelligence (MS preferred).
• Familiarity with Saas and Distributed Programming.
• Excellent in English speaking and writing.
• Skilled presentation, interpersonal, listening, written, and verbal communication skills.
• Ability to create course preparation plans, conduct independent research, design, code and deliver curriculum.
• Comfortable with travel internationally and domestically 40-70% of the time.
• Experience in Business Rules Management systems, Operations Research and Predictive Analytics are a plus.
• Familiarity with other scripting languages such as, Javascript, Python, Groovy is desired.

Our Offer to You

• An inclusive culture strongly reflecting our core values:  Act Like an Owner, Delight Our Customers and Earn the Respect of Others.
• The opportunity to make an impact and develop professionally by leveraging your unique strengths and participating in valuable learning experiences.
• Highly competitive compensation, benefits and rewards programs that encourage you to bring your best every day and be recognized for doing so.
• An engaging, people-first work environment offering work/life balance, employee resource groups, and social events to promote interaction and camaraderie.
• The targeted base pay range for this role is: $91,000 to $143,000 with this range reflecting differences in candidate knowledge, skills and experience.

#LI-CJH

#LI-REMOTE

Why Make a Move to FICO?

At FICO, you can develop your career with a leading organization in one of the fastest-growing fields in technology today – Big Data analytics.  You’ll play a part in our commitment to help businesses use data to improve every choice they make, using advances in artificial intelligence, machine learning, optimization, and much more.

FICO makes a real difference in the way businesses operate worldwide:

•    Credit Scoring — More than 90% of US credit decisions involve the FICO Score.

•    Fraud Detection and Security — 4 billion payment cards globally are protected by FICO fraud systems.

•    Lending — 3/4 of US mortgages are approved using the FICO Score.

Global trends toward digital transformation have created tremendous demand for FICO’s solutions, placing us among the world’s top 100 software companies by revenue. We help many of the world’s largest banks, insurers, retailers, telecommunications providers and other firms reach a new level of success. Our success is dependent on really talented people – just like you – who thrive on the collaboration and innovation that’s nurtured by a diverse and inclusive environment. We’ll provide the support you need, while ensuring you have the freedom to develop your skills and grow your career.  Join FICO and help change the way business thinks!

Learn more about how you can fulfil your potential at www.fico.com/Careers

FICO promotes a culture of inclusion and seeks to attract a diverse set of candidates for each job opportunity. We are an equal employment opportunity employer and we’re proud to offer employment and advancement opportunities to all candidates without regard to race, color, ancestry, religion, sex, national origin, pregnancy, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. Research has shown that women and candidates from underrepresented communities may not apply for an opportunity if they don’t meet all stated qualifications. While our qualifications are clearly related to role success, each candidate’s profile is unique and strengths in certain skill and/or experience areas can be equally effective. If you believe you have many, but not necessarily all, of the stated qualifications we encourage you to apply.

Information submitted with your application is subject to the FICO Privacy policy at https://www.fico.com/en/privacy-policy

Senior Systems Application Engineer

by Irma Moore | Aug 8, 2024 | Uncategorized

We are seeking a highly skilled, motivated System Engineer to join our dynamic team. This role can be located in the Louisville Kentucky area or out of one of the other offices in the US.

Senior Systems Application Engineer

What you can expect:

• In this role, you will be responsible for providing engineering support for both internal and client-facing web applications running on Solaris, Oracle Linux and Windows operating systems.
• You will collaborate with international teams, including Solaris and Linux Server Administration, Cyber Security, and Network teams.
• Additionally, you will work on Production system issues, participate in troubleshooting, security vulnerability management, patching, and ensure application availability, reliability, and stability.

What’s in it for you?

• A company with a strong Brand and strong results to match
• Culture of internal mobility, collaboration and valued partnership from the business.
• Employee Resource Groups which provide access to leaders, relevant volunteer and mentoring opportunities and interactions with counterparts in industry groups and client organizations.
• Competitive pay (salary and bonus potential), Full benefits package – starting day one (medical, dental, vision, STD/LTD, life insurance, RSP (Retirement Savings Plan) or TFSA (tax free savings account.)
• Tuition Reimbursement plan and participation in our Employee Stock Purchase Plan
• Entitled to vacation, floating holidays, time off to give back to your community, sick days, and national holidays (with early dismissal).

We will expect you to:

• Participate in application operations management in Linux systems, running UNIX commands to administrate PROD and non-PROD application environments.
• Provide Tier III administrative support per Operations and project needs; investigate and troubleshoot Production issues.
• Plan & perform major version upgrades of Application Server such as Tomcat, Apache Web Server, etc.
• Follow change control processes to support application releases.
• Remediate application and software related security vulnerabilities.
• Analyze and fine tune the server parameters (JVM Size, Thread pool size, Garbage Collection Process etc.) for achieving better application performance.
• Support operational excellence by identifying ongoing operational issues, root-cause analyses on Severity 1 system outages and identify the relevant remediation plans to strategically address them. Partner with Problem Management on implementing Service Improvement Programs.
• Create and maintain technical documents such as knowledge base articles, infrastructure diagrams, and FAQs.
• Perform routine housekeeping and health monitoring. Write Linux/UNIX Shell Scripts as and when needed for monitoring, recycling, automating tasks, etc.
• Support and resolve issues like application recycles, disk space issues, process hung, port conflict, logs archiving, SSL certificate, expiry, etc.
• Work on putting together and submitting infrastructure related requests, such as DNS registration, SSL certs etc.
• Candidate must be flexible in terms of working hours due to the nature of the role providing 24X5 weekdays support and weekend On-Call support on a rotational basis.
• Willingness to work on weekends to support application releases and maintenance is required.

What you need to have:

• Candidate should have hands-on experience in administering application servers in a corporate environment.
• Minimum 5 years in Oracle Linux systems.
• Working experience in public cloud AWS console management.
• Solid understanding of Windows servers.
• Good understanding of 3 tier or high availability application architecture.
• Good understanding of network topology.
• Sound knowledge of F5 Load Balancer, Firewalls, DNS, etc.
• Knowledge of WebLogic and other related Web/App Servers.
• Task oriented with strong ability to multi-task, and providing status updates using ticketing system such as ServiceNow, for incident and change management.
• Strong verbal and written communication skills, to work effectively with international teams, including Development, Database, OS and Infrastructure support teams.

What makes you stand out:

• Experience of incident management and change management tools like ServiceNow.
• Experience working in AWS hosting enterprise applications, Azure is also a plus.
• Experience working in a global enterprise environment.
• Documentation experience on application architecture of production environment.
• Experience with application and severs monitoring tools e.g. – AlertSite, App Dynamics, etc.
• Understanding of Security vulnerabilities of web-based applications like Click Jacking, Insecure SSL/TLS Protocol, SSL weak ciphers etc. and their remediation techniques.
• Degree in Computer Science or graduation/certifications from a credited Technology Program.

Marsh McLennan (NYSE: MMC) is the world’s leading professional services firm in the areas of risk, strategy and people. The Company’s more than 85,000 colleagues advise clients in over 130 countries. With annual revenue of $23 billion, Marsh McLennan helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses. Marsh provides data-driven risk advisory services and insurance solutions to commercial and consumer clients. Guy Carpenter develops advanced risk, reinsurance and capital strategies that help clients grow profitably and pursue emerging opportunities. Mercer delivers advice and technology-driven solutions that help organizations redefine the world of work, reshape retirement and investment outcomes, and unlock health and well being for a changing workforce. Oliver Wyman serves as a critical strategic, economic and brand advisor to private sector and governmental clients. For more information, visit marshmclennan.com, or follow us on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting [email protected]

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

The applicable base salary range for this role is $76,600 to $153,100.

The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

At Marsh McLennan, we understand the complexity, and the reality, of the modern career path. If your experience looks a little different from what we’ve identified and you think you would be a great fit for the role, we would love to hear from you.