Centene Corporation

Project Manager

• Responsible for initial assessment and continued compliance of all pending and current delegated entities with NCQA Credentialing Guidelines and Standards
• Acts as the main Fidelis Care contact for delegated credentialing entities
• Prepares and reports initial and annual audit results to the Credentials Committee
• Maintains compliance with accrediting and regulatory agencies including the NYS DOH, NCQA and CMS
• Reviews and independently assesses the delegate’s information based on NYS DOH, CMS and NCQA standards
• Collaborates with delegated entities to correct any deficiencies and prepares corrective action notification letters as applicable
• Monitors and prepares check requests for delegated credentialing payments as applicable

Delegation Project Coordinator

Business Analyst

• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Develop and incorporate organizational best practices into business applications
• Lead problem solving and coordination efforts between various business units
• Assist with formulating and updating departmental policies and procedures

Business Analyst II – Provider Data Operations

🌐
Worldwide
❌ Jobs You've Hidden
⭐️ Saved Jobs
✅ Applied Jobs
✉️ Email Alerts
👤 Account
This job opening is no longer available.
Similar Jobs
Lead Business Analyst – Insurity Center of Excellence

🕒 April 23

Ryan Specialty

1001 - 5000

💸 Finance

🤝 B2B

Website
LinkedIn
All Job Openings

Lead Business Analyst overseeing Insurity C1/SureMGA solution delivery under the CoE. Collaborating with stakeholders to ensure alignment with business objectives and system requirements.

🇺🇸 United States – Remote

💵 $92k - $115k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

🦅 H1B Visa Sponsor

Senior Access Management Analyst – IGA

🕒 April 23

GoHealth Urgent Care

1001 - 5000

⚕️ Healthcare Insurance

📡 Telecommunications

Website
LinkedIn
All Job Openings

Senior Access Management Analyst ensuring secure and efficient access to critical systems at GoHealth Urgent Care. Collaborating across teams to enhance identity governance and administration processes.

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🧐 Business Analyst

Business Process Analyst

🕒 April 23

Siemens Healthineers

10,000+ employees

⚕️ Healthcare Insurance

🧬 Biotechnology

Website
LinkedIn
All Job Openings

Strategy and Business Process Analyst creating dashboards and reporting capabilities at Siemens Healthineers. Driving data governance and insights to enable smarter, faster decisions.

🇺🇸 United States – Remote

💵 $89.2k - $122.7k / year

💰 $1.5M Grant on 2021-05

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

Senior Business Analyst – Financial

🕒 April 23

Gainwell Technologies

10,000+ employees

⚕️ Healthcare Insurance

Website
LinkedIn
All Job Openings

Senior Business Analyst at Gainwell improving healthcare clients' operations. Documenting requirements, facilitating meetings, and supporting process improvements in Finance.

🇺🇸 United States – Remote

💵 $69.4k - $99.2k / year

💰 Grant on 2023-06

⏰ Full Time

🟠 Senior

🧐 Business Analyst

🦅 H1B Visa Sponsor

Senior Solutions Analyst, PMO – Strategy Operations

🕒 April 23

ŌURA

201 - 500

🧘 Wellness

Website
LinkedIn
All Job Openings

Solutions Analyst integrating AI into PMO and Strategy operations at Oura. Leading AI governance and program management improvements.

🇺🇸 United States – Remote

💵 $172.6k - $203k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

Search More Business Analyst Jobs
🌐
Worldwide
Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com
Search
Search Jobs by country
Search jobs by city
Search jobs by job title
Search entry-level jobs
Search junior-level jobs
Search senior-level jobs
Search jobs by tech stack
Search jobs by contract type
Search remote internships
Search remote part-time jobs
Remote jobs Anywhere in the World
Companies Hiring Anywhere in the World
Companies Hiring Sales People Anywhere in the World
Companies Hiring Software Engineers Anywhere in the World
Resources
Advice
Tips for finding remote jobs
Interview questions and answers
Resume examples
Cover letter examples
Post a job
Affiliates
Privacy policy
Terms of service
Job board SEO course
AI Apply Copilot
OpenClaw job finder
Jobs by Country
Remote jobs anywhere in the world (Worldwide remote jobs)
Remote jobs United States
Remote jobs Australia
Remote jobs Brazil
Remote jobs Canada
Remote jobs France
Remote jobs Ireland
Remote jobs Germany
Remote jobs Netherlands
Remote jobs Spain
Remote jobs UK
Popular Jobs
Remote data analyst jobs
Remote customer support jobs
Remote executive assistant jobs
Remote marketing jobs
Remote product designer jobs
Remote product manager jobs
Remote project manager jobs
Remote recruiter jobs
Remote sales jobs
Remote software engineer jobs
Jobs by Type
Remote full-time jobs
Remote part-time jobs
Remote contract jobs
Remote internship jobs
Remote entry-level jobs
Remote jobs with no experience required
Remote junior jobs (1-3 years of experience)
Digital nomad jobs
Remote jobs with no degree required
Freelance remote jobs
Temporary remote jobs
Remote jobs hiring now
Stay at home mom jobs

Lead IT Portfolio Management Analyst

Compliance

• Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company
• Manage an end-to-end policy life cycle and governance processes
• Maintain clear policy standards, templates, and guidance to support consistent, high quality policy writing across the organization
• Support responses to audits, regulatory inquiries, and internal reviews related to company policies and procedures
• Investigate issues and mitigate any potential violations including: gathering information and recommending a course of action, preparing reports by researching, analyzing and summarizing information
• Develop, implement and maintain production and quality standards for the compliance program
• Perform periodic audits, risk assessments and conduct related ongoing compliance monitoring activities
• Evaluate and implement changes to service functions and performance in relation to company mission, philosophy objectives and policies
• Plan, direct and coordinate the implementation of policy decisions and ensure compliance with the company’s strategic plan, establish the department’s strategic vision, objectives and attendant policies and procedures for the organization
• Research and incorporate best practices into operations and ensure that department functions are coordinated with other operating departments

Manager, Compliance Policy Oversight

Cloud Engineer

• Manages the technical approach and decisions for the configuration of software and infrastructure services on the cloud platform
• Manages cloud infrastructure as code
• Automates deployment and administration
• Develops plan to ensure security of cloud components
• Partners with the DevOps team for upgrades, enhancements, and software migrations
• Leads a team of engineers for cloud-based environments
• Establishes and develops code-based CI/CD deployment plans
• Implements monitoring solutions for cloud environments
• Ensures the execution and completion of capacity plans
• Develops and implements design, build, and deploy cloud applications
• Delivers continuous integration and delivery pipeline with DevSecOps tooling

Lead Cloud Platform Engineer

Technical Program Manager

• Supports leadership and provides guidance on related large programs and projects
• Delivers, measures, and manages project performance
• Manages multiple project scopes and successful execution
• Provides direction to the project teams
• Coordinates program management reviews
• Identifies areas for improvement and shares lessons learnt

IT Program Manager

Manager

• Develops, assesses, and facilitates complex care management activities
• Evaluates the needs of the member and recommends/facilitates the plan for best outcomes
• Develops ongoing care plans/service plans and collaborates with providers
• Identifies problems/barriers to care and provides appropriate interventions
• Provides ongoing follow up and monitoring of member status and goals
• Facilitates education to members and their families on care processes and benefits

Care Manager, RN

Ecommerce

• Responsible for leading the strategy, delivery, and outcomes of a portfolio of specialty pharmacy digital experiences.
• Set direction for what to build, why it matters, and how it aligns to AcariaHealth and Centene priorities.
• Lead and develop a team of product managers.
• Define product strategy and priorities across the portfolio.
• Be accountable for measurable outcomes, including improvements in medication adherence, patient satisfaction, and efficiency of specialty pharmacy operations.
• Ensure product decisions translate into real world impact for patients, caregivers, pharmacy teams, and the business.
• Act as a key connector across pharmacy operations, clinical teams, IT, security, and business leadership.

Senior Manager, Technical Product Management – Specialty Pharmacy Digital Experiences

Content Manager

• support enterprise content development by helping bring the corporate narrative to life
• provide editorial guidance that shapes the storytelling and narrative approach for requests for proposals (RFPs)
• define the core story and key messages that run through proposal narratives
• work closely with RFP writers and subject matter experts to ensure narrative accuracy and clarity
• collaborate with cross-functional subject matter experts to translate complex content into compelling narratives
• ensure all content adheres to applicable policies, procedures, brand, and editorial standards

Enterprise Content Editor

Program Manager

• Plan, organize, monitor, and oversee the Enterprise Privacy & Security Risk Management (EPSRM) department's portfolio of projects
• Collaborate with cross-functional teams to ensure alignment of projects with strategic objectives
• Manage and track expenditures for EPSRM initiatives
• Oversee the management and successful completion of multiple, complex programs and projects in alignment with strategic goals and objectives
• Develop and manage budgets for programs and projects and ensure expenditures are within approved limits
• Monitor and manage program and project deliverables and financials
• Allocate resources effectively across programs and projects
• Provide oversight and guidance to cross-functional teams to ensure projects are delivered on time, within scope, and on budget
• Perform analysis, generate reports, and regularly communicate with stakeholders

Portfolio Program Manager

Data Analyst

• Analyze integrated and extensive datasets to extract value impacting business decisions
• Work collaboratively with key business stakeholders to develop solutions and deliver insights
• Interpret and analyze data from multiple sources including claims, provider, member, and encounters data
• Identify and assess the business impact of trends
• Develop, maintain, and troubleshoot complex scripts and reports using SQL, Microsoft Excel, or other analytics tools
• Assist in the design, testing, and implementation of process enhancements
• Identify and perform root-cause analysis of data irregularities and present findings to leadership
• Manage multiple tasks and data review processes within timelines

Data Analyst III, SQL, Appeals Analytics

• Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities
• Plan, organize, monitor, oversee and lead multiple, concurrent resultant projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives
• Identify opportunities to increase efficiency, improve service levels and ensure regulatory compliance through enhanced operations
• Develop strategies to realize improvement opportunities and ensure organizational prioritization and resource alignment
• Manage multiple projects through the full project life cycle process including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure
• Utilize corporate and industry standard project management tools and techniques to effectively manage projects
• Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans
• Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations
• Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks
• Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives
• Provide functional and technical knowledge regarding overall program requirements and operations

Program Manager III, Integration Quality & UAT

Bilingual

• responsible for retaining current membership in an assigned territory
• meets daily production metrics designed to achieve higher membership retention
• conducts telephonic and field outreach including assistance at community events
• provides member resolution by researching, analyzing and documenting inquiries regarding program eligibility
• conducts outreach and follow up calls to educate members about Fidelis Products
• serves as a liaison between the member and the different Fidelis departments
• documents all interactions in the appropriate system (Sales Force, Facets)
• modifies delivery skills accordingly to overcome objections and retain members

Bilingual Retention Field Representative

• Promote increased program efficiency, service levels, and value by capturing and monitoring performance
• identify opportunities for improvement and strategies to realize those opportunities
• Plan, organize, monitor, oversee and lead multiple, concurrent resultant projects
• Utilize corporate and industry standard project management tools and techniques to effectively manage projects
• Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans
• Provide leadership and effectively communicate project status to all stakeholders
• Negotiate with project stakeholders to identify and secure resources
• Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives

• Leading care coordination activities for enrollees within a Managed Care setting
• Developing, assessing, and facilitating complex care management activities for primarily mental and behavioral health needs
• Evaluating the needs of the member via phone or in-home visits
• Developing ongoing care plans for members with high level acuity
• Coordinating appropriate care between members and community resources
• Monitoring care plans/service plans and providing recommendations based on identified member needs
• Collecting, documenting, and maintaining member information and care management activities

Delegation Project Coordinator

Business Analyst II – Provider Data Operations

Lead IT Portfolio Management Analyst

Manager, Compliance Policy Oversight

Lead Cloud Platform Engineer

IT Program Manager

Care Manager, RN

Senior Manager, Technical Product Management – Specialty Pharmacy Digital Experiences

Enterprise Content Editor

Portfolio Program Manager

Data Analyst III, SQL, Appeals Analytics

Program Manager III, Integration Quality & UAT

Bilingual Retention Field Representative

Program Manager III, Integration Quality & UAT

Reentry Care Manager