Job Description: Summary: The Healthcare Statistical Analyst performs technical services within the actuarial or risk adjustment department that support of the Health Plans operations which monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role interacts with internal and external partners and Regulatory agencies. This role monitors trends, bring forward opportunities and insights found in the data to the applicable audiences. This position supports leadership by providing statistical information and analysis needed to make informed decisions, identifies trends, and utilizes data mining techniques and development of advanced predictive models. Essential Accountabilities: All Levels - Updates existing and aids in the creation of new analysis pertaining to benefit designs, claims experience, Value Based Payment (VBP) programs and valuation of internal and externally led claims savings and risk adjustment initiatives. - Maintains existing processes including but not limited to reserve programs, pricing files, benefit relativity tables, trend analysis, risk score analysis, VBP and vendor financial settlements, ROI work. Creates and maintains appropriate documentation for work. - Assists with the development of projections (financial, claims, risk score, trend, utilization, savings, etc.), unpaid claim liability estimates and identification of areas for savings. - Compiles and analyzes data to draw conclusions, support data quality, and provide recommendations. - Proposes and assists in the development of process improvements utilizing system and software applications to full potential and participates in activities and projects as directed. - Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. - Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. - Regular and reliable attendance is expected and required. - Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) - Conducts analyses for and communicates with other departments on various initiatives. - Assists the development of analyses concerning complex issues & trends, coordinates with staff - Participates in reviewing and evaluating emerging trends in healthcare, establishing reserves and producing financial analysis. - Recommends appropriate applications and process changes to existing and new analysis. - Reconciles Data Warehouse data with corporate financials or encounter submissions and identifies and develops corrective action with regards to Data Warehouse integrity issues. - Initiates and leads efforts to continually improve data capabilities and quality of department analysis and reporting. - Independently ideates process improvements and recommends changes in process to direct leadership. - Creates and maintains documentation related to data analysis, data models, and data mapping which includes creating technical documentation, process documentation and training materials. - Draws together facts and input from a variety of data sources. Level III (in addition to Level II Accountabilities) - Reviews and ensures pricings are consistent with established profitability targets for relevant business segments. - Researches and analyzes data across complex data ecosystem including operational and analytical data platforms to develop insightful and effective reporting and dashboards. - Demonstrates keen judgment on involved and complex assignments; devises methods and procedures to meet unusual conditions and makes original contributions to the solution of very difficult problems. Problem solving is complex and involves critical issues. - Develops analyses concerning complex issues and trends, coordinating with several different disciplines and staff. - Leads and supports departmental projects. - Provides effective technical advice and support to assist management in meeting corporate goals and identifying strategy. Involves other departmental areas as needed. Level IV (in addition to Level III Accountabilities) - Recommends departmental annual performance goals. - Offers strategic recommendations on the analysis of data, data collection, and integration using the knowledge of best practices and business requirements. - Conduct exploratory, descriptive, and inferential data analysis using statistical and machine learning techniques. - Represents the Department on special projects involving other areas of the company or external constituents. - Partners and leads projects including stakeholders from a variety of departments. - Interprets how regulatory changes affect Health Plan and develops impact analyses. - Collaborates with senior leadership in meeting corporate goals and strategic decision making. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels - Bachelor’s Degree in Math, Statistics, Economics, Medical Informatics, Actuarial Science or relevant field required. - One (1) year of related experience preferred. - Strong analytical skills, verbal and written communication skills. - Strong interpersonal skills with demonstrated ability and willingness to collaborate with other team members. - Ability to prioritize, multitask, and maintain multiple simultaneous projects. - Intermediate technical skills including proficiency in Microsoft Office Suite - Programming skills in SQL, SAS, VBA, or similar programming language is preferred. Level II (in addition to Level I Qualifications) - Two (2) years related experience. - A strong understanding of health insurance & health insurance products, managed care, accounting principles, the competitive market, the legislative environment, and any regulatory issue affecting the Health Plan. - Ability to work independently, with high level of self-motivation to improve processes. - Proficient programming skills in SQL, SAS, VBA, or similar programming language preferred. - High level understanding of non-Actuarial functions such as Rating & Underwriting, Finance, Provider Contracting, Analytics & Data Technology, Population Health Engagement, Marketing & Sales, etc., and how they impact Health Plan operations and financials. Level III (in addition to Level II Qualifications) - Four (4) years of related experience. - Ability to perform complex modeling independently. - Strong ability to recognize and automate repetitive tasks. - Ability to communicate analytical findings at the appropriate level of detail for receiving audience. - Demonstrated experience leading projects or process improvement initiatives. - Ability to write and communicate complex concepts. Level IV (in addition to Level III Qualifications) - Six (6) years related experience. - Advanced understanding of non-Actuarial functions such as Rating, Underwriting, Accounting, Provider Contracting, Network Management, Product Development, Medical Management, etc., and how they impact Health Plan operations and financials. - Advanced ability to independently communicate analytical findings at the appropriate level of detail for receiving audience. - Strong ability to independently write, communicate and present complex concepts to both actuarial and non-actuarial audiences. Physical Requirements: - Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time. - Ability to travel across the Health Plan service region for meetings and/or trainings as needed. ************ In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E1: Minimum $60,410 - Maximum $84,000 Level II: Grade E3: Minimum $60,410 - Maximum $106,929 Level III: Grade E5: Minimum $71,880 - Maximum $129,384 Level IV: Grade E6: Minimum $79,068 - Maximum $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Become a part of our caring community and help us put health first The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Risk Adjustment Representative 2 ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. May participate in provider education programs on coding compliance. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Use your skills to make an impact Travel Requirements - Must reside in the Kansas City Metro area. - Must be able to travel up to 70% of the time at peak season including some overnight travel. - Must have reliable transportation. Required Qualifications - Minimum 1 or more years of customer service experience. - Experience with Medical records. - Experience with Medical terminology. - Proficiency in Microsoft Office applications: Word and Excel - Knowledge and experience in health care environment/managed care (provider office, billing, coding, release of information, etc.) - This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. - Demonstrated ability to articulate ideas effectively in both written and oral forms. - Organizational and time management skills. - Must be passionate about contributing to an organization focused on continuously improving consumer experience. Preferred Qualifications - Familiarity with ICD-9/10 coding Additional Information Work-At-Home Requirements: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

As a global medtech company, we are driven by our Vision of changing the trajectory of lives for a new day and our Mission to create ingenious solutions that ignite patient turnarounds. Our relentless commitment to patients and strong legacy of innovation in healthcare are the foundation of our future. If you're looking for a new chance, a new beginning, a new trajectory, LivaNova is where your talent can truly thrive. Join our talented team members worldwide to become a pioneer of tomorrow—because at LivaNova, we don’t just treat conditions — we aspire to alter the course of lives. Position Summary: The Manager, Enterprise Risk Management is responsible for overseeing and coordinating the organization’s Enterprise Risk Management (ERM) framework, ensuring effective risk identification, assessment, and mitigation across the enterprise. This role will manage key risk governance processes, business continuity planning, and provide critical support for executive and board-level reporting. General Responsibilities: - Risk Assessment Oversight: - Manage the implementation of ERM roadmap milestones to strengthen enterprise risk maturity. - Lead risk assessments and facilitate risk workshops with business units. - Analyze and consolidate risk data to identify trends and emerging risks. - Collaborate with business units to support the development of risk response plans - Serve as the system owner for AuditBoard Risk Oversight, ensuring accurate and timely updates of risk and control information. - Maintain system integrity and provide user support and training as needed. - Business Continuity Management: - Manage the business continuity program (BCP). - Design and lead regular BCP tests and tabletop exercises. - Collaborate with the business to evaluate test results, identify gaps, and implement corrective actions. - Ensure plans are practical, effective, and reflect current business operations. - Align continuity planning and identified risks with ERM efforts. - Crisis Management Support: - Partner with the Crisis Management Lead to ensure alignment between crisis response strategies and the BCP. - Provide operational support during crisis events and post-incident reviews. - Executive and Board Reporting: - Communicate risk insights and recommendations to senior stakeholders. - Support financial and regulatory reporting requirements related to ERM and business continuity. - Prepare ERM-related materials, dashboards, and presentations for the Executive Leadership Team (ELT) and Board of Directors. Skills and Experience: - 5+ years of experience in enterprise risk management, audit, compliance, or related discipline. - Strong knowledge of risk frameworks (COSO, COBIT, ISO 31000) and business continuity planning. - Proficiency with AuditBoard or similar risk management platforms. - Experience preparing reports for executive leadership and boards. - Excellent communication and stakeholder management skills. - Ability to work independently and manage multiple priorities in a fast-paced environment - Strong analytical and problem-solving abilities. Education: - Bachelor’s degree in Risk Management, Business Administration, Finance, or related field. - Professional certifications (e.g., CRMP, CBCP, CISA) are a plus Travel Requirements: - Occasional travel may be required. Pay Transparency: A reasonable estimate of the annual base salary for this position is $110,000 - $150,000 + discretionary annual bonus. Pay ranges may vary by location. Employee benefits include: - Health benefits – Medical, Dental, Vision - Personal and Vacation Time - Retirement & Savings Plan (401K) - Employee Stock Purchase Plan - Training & Education Assistance - Bonus Referral Program - Service Awards - Employee Recognition Program - Flexible Work Schedules Welcome to impact. Welcome to innovation. Welcome to your new life.

• Learn to perform duties in Risk Management and Compliance. • Support risk management activities related to vendor management and counter-party risk. • Conduct risk assessments, process reviews, and support data and analytics activities. • Synthesize information into actionable insights and collaborate with other areas of the credit union.