by Irma Moore | Apr 10, 2024 | Uncategorized
- Maintains technical documentation based on standard operating procedures.
- Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.
- Actively participates in and contributes to daily communications, team meetings and project/issue resolution.
- Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests.
- Maintains customer documentation that validates configuration.
- Efficiently and effectively distributes tasks, using clear and concise instructions and expectations.
- Completes deliverables independently and within an agile team setting.
- Other duties as assigned.
Responsibilities
- 2+ years of experience in benefit plan configuration/analysis.
- Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design and system application.
- Advanced working knowledge of Microsoft office products (specifically Word, Access, Excel), including running queries and macros.
- Advanced knowledge of interpreting and understanding prescription benefits.
- This role requires strong attention to detail, critical thinking and analytical skills
- Ability to work within a team and as an individual contributor in a fast-paced, changing environment.
- Strong sense of urgency leading to the timely completion of all projects, training and assignments.
by Irma Moore | Apr 10, 2024 | Uncategorized
- Represents assigned business system or business process as a subject matter expert in the development of business requirements, system specifications, process flows, process change and/or project management
- Participates in adopting operational best practices and standard operating procedures as it relates to assigned business system or business process
- Works directly with business, IT, and users to support and improve existing applications and processes related to assigned business system
- Independently, or with direction from an FBC or department leader, researches and resolves business and technical problems by identifying, evaluating, and implementing improvements to processes and applications
- May conduct testing, including creation of a test plan, test cases, performing User Acceptance Testing and Joint Cycle Testing
- Other duties as assigned
Minimum Qualifications
- Bachelor’s degree in business administration, IT or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
- 3 years of work experience in business analysis, project management, and/or process improvement to include:
- 1 year of functional experience in at least one of the specific areas for position (e.g., claims, eligibility, product, benefits, implementations or area related to the department with which the position resides)
- Must be eligible to work in the United States without need for work visa or residency sponsorship
by Irma Moore | Apr 10, 2024 | Uncategorized
- Assist in preparing clear, concise audit reports.
- Present audit conclusions and recommendations to senior management.
- Develop new automated testing procedures using internal tools such as Tanium, Verdant, ServiceNow, and Ansible.
- Create new work programs for emerging areas of Digital Technology such as Cloud Computing, Internet of Things (IoT) and Artificial Intelligence (AI).
- Assist in efforts to modernize existing work programs to include automated testing procedures.
- Continuous self-improvement including the addition of technical skills, as needed, based on department needs.
- Demonstrate a commitment to diversity and act as a champion for change within the department and in partnership with other functions/businesses.
- Travel to company locations as necessary (in the potential range of 5% – 30%).
Basic Qualifications:
- Typically a minimum of 5+ years work experience and a Bachelor’s Degree or equivalent combination of related work experience and schooling in lieu of degree; Advanced degree and related work experience
- Successful track record of Influencing parties within and outside of work area at an operational level regarding policies, risks, opportunities, areas for process improvements, practices and procedures.
- Microsoft Office application including excel and powerpoint
- Current U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.
Preferred Qualifications:
- Certified Information Systems Auditor (CISA), Certified Information Security Manager (CISM), Certified Information Systems Security Professional (CISSP), or other relevant DT, cyber, or technical certifications.
- Work effectively and communicate across all levels and functions within the business.
- Strong interpersonal skills with the ability to work with diverse and remote teams.
- Strong oral and written communication skills and proven presentation skills.
- Strong analytical/problem solving and organizational skills.
- Proactive and results driven with strong attention to detail and ability to work under pressure.
- Experience writing scripts for Microsoft Active Directory, Windows Servers and PCs, Unix operating systems, and Visual Basic for Microsoft Office applications.
- Experience using Tanium, Verdant, Archer GRC, and ServiceNow.
by Irma Moore | Apr 9, 2024 | Uncategorized
In this role of Information Security Officer you will be responsible for:
- Proactive identification and mitigation of IT risks as well as responding to observations identified by third party auditors or examiners while assisting in the development of periodic reports and dashboards presenting the level of controls compliance and current IT risk posture.
- Responsible for PCI-DSS 4.0 compliance (Level 1) company-wide.
- Educating technical and non-technical team members across the company on security matters.
- Regularly auditing all IT provided internal services including but not limited to hardware (computers, storage, and network equipment).
- Assisting Company managers and staff with external audits and facilitate management response and remediation efforts. Ensure overall compliance with regulatory requirements through proactive planning and communication, ownership and relationships.
- Coordinating the continuous development, implementation, and updating of security and privacy policies, standards, guidelines, baselines, processes and procedures in compliance with local, state, and federal regulations and standards for information systems.
- Developing and managing the frameworks, processes, tools and consultancy necessary for the organization to properly manage risk and to make risk-based decisions related to IT activities.
- Broadening and deepening knowledge of the business and technology environment with respect to the delivery of projects, strategic initiatives, and systems portfolio to effectively assist IT managers and staff with risk and compliance management.
- Facilitating information systems security management education and training in regulatory and industry standards for all employees.
- Remaining current on applicable international laws and regulations that may impact the Company.
To be successful in this role of Information Security Officer you will need the following experience and qualifications:
- A Bachelor’s degree or equivalent in Computer Information Systems, Management Information Systems, or Computer Science.
- A minimum of 5 years work experience with similar type of work.
- Previous experience as a PCI Internal Security Assessor (ISA) or Qualified Security Assessor (QSA), or demonstrated experience performing such analysis and tasks for an organization.
- Experience in risk, compliance and information security policy development.
- Knowledge and understanding of corporate/industry information security, governance, risk and compliance practices and standards.
- Knowledge of laws and regulations including but not limited to: CCA, GDPR and PCI-DSS 4.0.
- Excellent organizational and communication skills (both oral and written).
- Strong interpersonal skills and the ability to effectively communicate with a wide range of individuals and constituencies in a diverse community.
- Excellent knowledge of Internet security, including Internet architecture, protocols, and applications
- Excellent problem-solving and analytical skills, and exceptional attention to detail
- Fluent in English.
by Irma Moore | Apr 9, 2024 | Uncategorized
he ideal candidate will have a strong background in data center and High Performance Computing infrastructure operations, experiences with RMA process, working with external vendors and the ability to analyze, optimize and operationalize both internal and external customer-facing processes.
You have a proven experience of leading cross-functional teams working with planning, execution, and evaluation of program initiatives, including ticketing process improvements and optimization.
Wondering if you’re a good fit? We believe in investing in our people, and value candidates who can bring their own diversified experiences to our teams – even if you aren’t a 100% skill or experience match. Here are a few qualities we’ve found compatible with our team. If some of this describes you, we’d love to talk.
- You have at least 3-4 years experience with Infrastructure as it relates to Data Center operations.
- You know how to conduct regular program reviews and evaluations to assess effectiveness, identify areas for improvement, and drive continuous optimization.
- You have a background in establishing roadmaps, data analytics, staffing efficiencies, process improvements, and governance for customer programs and strategy covering current and future growth.
- You have experience using business intelligence systems and tools, looking at issues and ticket data trends to help identify bottlenecks and areas for improvement in larger scale data center operations.
- You are proficient in designing and implementing process workflows, with a strong ability to analyze and optimize operational procedures through detailed workflow charts, ensuring efficiency and effectiveness in project execution.
- You are familiar with tools and methods to create and maintain detailed documentation, and have proven experience in generating client-facing reports on infrastructure metrics, server management, and case workflows.
- You’re interested in playing a key role in talent acquisition and retention. This includes diligent performance management and coaching/developing your team according to their individual needs.
- You are familiar with Linux, containerization technologies, virtualization and cloud computing concepts.
- You’re practiced in communicating with clients and external vendors regarding their business needs, priorities, incidents, and eff
Recent Comments