by Irma Moore | May 26, 2025 | Uncategorized
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Perform day to day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up.
- Provide support to the external provider representative to resolve provider data issues
- Research and effectively respond to provider related issues
- Submit provider data entries to resolve provider-related demographic information changes
- Initiate and process provider add, change and termination forms
- Create and maintain spreadsheets used to produce provider directories for multiple products.
- Track, update and audit provider data
- Identify adds, deletes and updates to key provider groups and model contract
- Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
- Provide assistance to providers with website registration
- Facilitate provider education via webinar
- Work with other departments on cross functional tasks and projects
- Facilitate new provider orientations
- Facilitate provider trainings
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Associate’s degree and claims processing, billing and/or coding experience preferred. Three years of experience in managed care environment, medical provider office, customer service within a healthcare organization, and medical claims. Knowledge of health care, managed care, Medicare or Medicaid.Pay Range: $22.79 – $38.84 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
by Irma Moore | May 26, 2025 | Uncategorized
About the Role
Job title: Health Information Technology (HIT) and Data Strategist – Vaccines – South Central Region
Location: US Remote
Job Description:
About the Job
As a Health Information Technology (HIT) and Data Strategist, you will drive innovative technology initiatives with health systems and organized customers to improve vaccination rates. Working closely with Strategic Account Managers and National Account Directors, you’ll help healthcare leadership optimize clinical workflows through existing technology investments (EHR, PHM, CRM, Digital Solutions) and transform data into actionable insights that improve operational outcomes.
We are an innovative global healthcare company that helps the world stay ahead of infectious diseases by delivering more than 500 million vaccine doses a year. Across different countries, our talented teams are exploring new technologies to protect people and promote healthy communities. We chase the miracles of science every single day, pursuing progress to make a real impact on millions of patients around the world.
Main Responsibilities:
Strategic Partnership Development
- Build and nurture relationships with HIT decision-makers within health systems and organized customers to enhance access to Sanofi’s immunization portfolio
- Align Sanofi’s HIT capabilities with customer technology ecosystems to create mutual value
- Identify and develop market-shaping opportunities between Sanofi and relevant HIT vendors, influencers, and policy makers
Technical Expertise & Workflow Optimization
- Conduct healthcare IT workflow assessments to identify opportunities for improving immunization processes before, during, and after patient visits
- Help customers leverage healthcare data analytics to improve operational efficiency and patient outcomes
- Provide technical guidance on HIT platforms, applications, and emerging trends
Cross-Functional Collaboration
- Partner with internal teams to uncover opportunities and address unexpressed customer technology needs
- Participate in executive briefings alongside Account Managers to provide technical expertise
- Contribute to strategic business planning, including opportunity development and competitive strategies
- Ensure alignment across marketing, digital, medical affairs, market access, and operations teams
About You
Qualifications:
Required
- Bachelor’s degree in business administration, healthcare, information technology, or related field
- 10+ years of experience in health information technology, healthcare marketing, or commercial field
- Demonstrated ability to translate technical concepts into business value for healthcare stakeholders
Preferred
- Advanced knowledge of healthcare IT platforms, particularly EHR systems (Epic certification a plus)
- Experience evaluating clinical workflows and implementing technology-based optimizations
- Background working with an HIT vendor, digital health company, or health system IT department
- Strong project management skills with ability to drive complex initiatives
- Exceptional communication and relationship-building capabilities
- MBA or other relevant advanced degree
What Makes You Successful:
- Stretch: You challenge the status quo and pursue ambitious goals that transform healthcare delivery
- Take Action: You make decisions with appropriate urgency and adapt quickly in a changing environment
- Act for Patients & Customers: You prioritize patient outcomes and customer success in all initiatives
- Think Sanofi First: You collaborate across teams to deliver comprehensive solutions that advance our mission
Why Choose Us?
- Bring the miracles of science to life alongside a supportive, future-focused team.
- Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally.
- Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.
- Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave.
This position is eligible for a company car through the Company’s FLEET program.
Candidates must complete all fleet safety training and must maintain an acceptable driving record regarding accidents and incidents.
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
#GD-SP
#LI-SP
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Pursue progress, discover extraordinary
Better is out there. Better medications, better outcomes, better science. But progress doesn’t happen without people – people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let’s be those people.
At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity.
by Irma Moore | May 24, 2025 | Uncategorized
Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.
About This Opportunity: As a Member Analyst, you’ll dive into large, complex healthcare datasets to uncover patterns, validate assumptions, and provide insights for our internal customer success teams. Your findings will be key contributions for Valenz to improve processes and make a real impact on how we serve our members and clients.
Things You’ll Do Here:
- Analyze medical claims data to identify trends, anomalies, and opportunities for our payers and members.
- Clean, structure, and interpret large datasets using SQL and Excel, transforming raw data into clear, actionable insights.
- Translate complex datasets to concise, easy to understand summaries and present these findings to teams such as Customer Success, Product, and Operations to inform and improve client support.
- Collaborate with Member Services to investigate and resolve member-related issues, using data insights to identify root causes and support timely, effective solutions.
- Identify and recommend improvements in data processes and reporting practices.
- Actively participate in internal process improvements, team initiatives, and department’s growth as tools, systems, and technologies advance.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
What You’ll Bring to the Team:
- 1+ years of experience analyzing large, complex datasets, including working with incomplete or ambiguous data to extract meaningful insights.
- Relational Database querying (MySQL, SQL Server, Databricks, etc.)
- Strong problem-solving, investigative, and critical thinking skills – you like to dig deeper than surface-level results.
- Exceptional attention to detail, with a focus on accuracy and thorough validation of work.
- Highly organized and self-motivated, able to manage time effectively and work independently with minimal supervision.
A plus if you have…
- Bachelor’s degree in Statistics, Mathematics, Computer Science, Economics, or related field.
- Experience working with a variety of healthcare data types (claims, eligibility, etc.)
- Experience with Python/Databricks.
Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment!
- Work Environment: You’ll need a quiet workspace that is free from distractions.
- Technology: Reliable internet connection—if you can use streaming services, you’re good to go!
- Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software.
- Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA.
Why You’ll Love Working Here
Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare.With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do.
Benefits
- Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting
- Flexible working environment
- Generous Paid Time Off to include vacation, sick leave, and paid holidays
- Employee Assistance Program that includes professional counseling, referrals, and additional services
- Paid maternity and paternity leave
- Pet insurance
- Employee discounts on phone plans, car rentals and computers
- Community giveback opportunities, including paid time off for philanthropic endeavors
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
by Irma Moore | May 24, 2025 | Uncategorized
Post Date
May 22, 2025
Location
Los Angeles,
California
ZIP/Postal Code
91608
Job Type
Contract
Category
Programmer / Developer
Req #
LAX-784203
Pay Rate
$53 – $66 (hourly estimate)
Job Description
A client is looking for a Power Apps Developer to sit remotely and support a large media client.
We are looking for an experienced Power Apps Consultant to support the development of a custom application aimed at modernizing and automating workflows within a finance environment. This role will focus on eliminating inefficient spreadsheet-based processes by designing scalable, user-friendly dashboards using Microsoft Power Platform tools.
Currently, production finance teams rely heavily on Smartsheets and Excelprocesses that are slow, manual, and prone to human error. This project, led by a senior internal developer, will automate audit workflows and provide dynamic data visualization capabilities to help reduce reporting inaccuracies and streamline auditing tasks.
The ideal candidate will work closely with the internal project lead and report directly to the project manager. This is a highly technical, behind-the-scenes role focused on execution, not presentation. Phase 1 will focus on auditing; successful completion may lead to an extension for Phase 2, which will expand the scope to other financial processes.
Key Responsibilities:
Collaborate with the internal developer to build and configure a custom Power Apps solution
Design and deploy two core dashboards: one for individual productions and one for portfolio-wide production groups
Integrate Dataverse and other Microsoft ecosystem tools to support automation and data consolidation
Work with structured and unstructured data sources to model financial data accurately
Support testing, iteration, and troubleshooting during development
Ensure the system is scalable, maintainable, and user-friendly for non-technical finance users
Help phase out current reliance on Excel and Smartsheets in favor of Power Platform tools
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC “Know Your Rights” Poster is available here.
To learn more about how we collect, keep, and process your private information, please review Insight Global’s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Required Skills & Experience
5+ years of hands-on experience developing in Power Apps
Strong experience with Power BI for data visualization and reporting
Familiarity with Microsoft Dataverse for data modeling and application back-end support
Exposure to Power Automate is a plus (can be trained if needed)
Strong understanding of business process automation and data integrity
Ability to work independently on technical builds while taking direction from an internal lead
Excellent attention to detail and a passion for solving workflow inefficiencies
Strong collaboration skills; ability to adapt to fast-paced, iterative development cycles
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
by Irma Moore | May 24, 2025 | Uncategorized
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Responsible for advanced and predictive data analytics using big data and data science technology for healthcare innovation and outcomes. Perform analysis using data science techniques on structured and unstructured data sets, and develop algorithms for targeted business needs.
- Design and develop data models to predict member outcomes or future impact of key member decisions.
- Design and construct analysis tools that extract, and analyze data and store analytical results in an appropriate format for business needs.
- Conduct exploratory data analysis from complex data sources and build key data sets to support Centene’s mission.
- Evaluate and design experiments to monitor key metrics and identify improvement opportunities.
- Develop mathematical and statistical models to distinguish relevant content or events and recognize patterns.
- Participate in presentations and communicate results of analysis and findings.
- Participate in the design of automated, operational analytics processes to achieve scale and durability of analysis processes.
- Validate and measure the outcomes of health management programs using SAS, R and other tools, to include provider data, claims data, membership data
- Manage multiple projects as assigned.
- Assist with training Data Analysts.
Knowledge/Experience: Master’s degree in Statistics, Mathematics, Computer Science, Informatics, Econometrics, Engineering, Experimental Science with 3+ years of experience or Bachelor’s degree and 5+ years of quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis. Experience with database technologies, including Oracle, SAP, DB2, Teradata, MS SQL Server, SAP HANA, MySQL.
Position Responsibilities:Pay Range: $86,000.00 – $154,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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