We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Designs and implements a quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes, including National Committee for Quality Assurance (NCQA) and state regulators for Medicaid and CHIP. Links the quality management activities to business goals by using innovation, integration, and information. Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities, including support of all accreditation activities and contract requirements. Analyzes and reports on findings on health plan activities and performance. Additional responsibilities include but not limited to the following: - Support accreditation minimally for health plan, health equity, and long term supports and services - Support quality contract requirements, including performance improvement projects (PIPs), analysis of quality improvement activities, and quality program evaluation - Measure adherence to clinical and preventive health guidelines - Assists in the development and implementation of QM projects and activities - Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department - Support quality committees execution and reporting to quality committees - Performs quantitative and qualitative data analysis to achieve operational targets - Prepares QM documents that adhere to the interpretation and application of business requirements Required Qualifications - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care - Must be analytical and able to interpret data - Must be proficient in all Microsoft office Suite, especially Microsoft Excel and PowerPoint - Must be articulate and able to communicate to multiple internal and external stakeholders Preferred Qualifications - 1-2 years experience leading or managing performance improvement projects and/or Direct Quality National Committee for Quality Assurance (NCQA) accreditation - 2 years Performance Improvement Projects (PIP) experience - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master’s Degree Education Bachelor's Degree or equivalent work experience in managed care quality Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $91,800.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/20/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Assists in the prioritization of projects, auditing project alignment with overall technical or business strategy, guiding resource allocation, and supporting the development of profolio or program execution plans. Manages Agile / Lean portfolios and supports overall strategy, investment funding, Agile portfolio operations, and Lean governance. Applies the concept of lean thinking to program and product and coaches stakeholders on these concepts to achieve objectives. - Facilitates the portfolio management processes to ensure strategic alignment on technologies and goals - Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project or product release success. - Creates visibility into areas struggling with scope, schedule, resources, or budget - Contributes to the development, management and optimization of portfolio, program, and project management methodologies and disciplines - Facilitates resource and budget planning with the IT teams on new demands and contributes to the sequencing of program into the portfolio - Identifies dependencies and critical paths, and aids stakeholders in managing them - Improves and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and tool teams - Identifies and resolves problems often anticipating issues before they occur or before they escalate; develop and evaluate options and implements solutions - Analyzes risk profile and balance at the portfolio level - Contributes to capacity planning for initial and ongoing identification of resource needs and scheduling that will be used for making critical portfolio decisions - Performs other duties as assigned - Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. - Experience with ServiceNow, Excel, PowerBI - Experience with Data Analysis Soft Skills: - Seeks to acquire knowledge in area of specialty - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions - Ability to work independently License/Certification: - Certified Project Management Professional (PMP)-PMI preferred - Certified Workforce Planning Professional preferred - Certified in Governance of Enterprise IT (CGEIT) preferred Pay Range: $75,300.00 - $135,400.00 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is an after hours work at home position. Must work the below schedule. Schedule: Thursday and Friday 3pm-1am MT Saturday and Sunday 11am-9pm MT Must be able to work Holidays. There will be a 12.5% differential for this shift. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program for preauthorization for mental health services. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus within a call center setting. Required Qualifications - 3+ years of post clinical licensure experience in behavioral health - 3+ years knowledge of mental health and substance abuse disorders - Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reside in (one or more or equivalent is required: LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist or RN) - Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately perform work duties. - Must be able to talk on the telephone and type at the same time, this is a queue based job Preferred Qualifications - Direct clinical experience in a hospital setting or prior Utilization Management experience. Education - If RN, Bachelor's degree in nursing required with emphasis on Behavioral Health or Psychology - If BH-licensed, Masters degree in Social Work, Counseling, Psychology required Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $116,760.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Business Systems Analyst - Remote. Candidates residing in Alaska, Washington, Montana, Oregon, or California are encouraged to apply. Provider Solutions & Development (PS&D), is a wholly owned subsidiary of Providence. While based in Portland, Oregon the position can sit in any Providence approved locations specified in the posting. PS&D is the national market leader for best-in-class provider recruitment services. We help create healthier communities by strategically partnering with like-minded health care organizations to deliver exceptional recruitment and consultative services steeped in innovation, collaboration, and setting national best practices. With minimal to no oversight the Senior Business Systems Analyst is responsible for coordinating with vendors, partners, architects, project management and PS&D and Providence leadership to facilitate complex cross departmental and company-wide requirement gathering activities and consulting on complicated system implementations, integrations and upgrades supporting various types for initiatives for all departments within PS&D. Providence caregivers are not simply valued – they’re invaluable. Join our team at Provider Recruitment Medical Center & Children's Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Essential Functions: Business Analysis: · Lead the end-to-end business analysis process. · Execute requirements gathering, documentation, validation, and prioritization. · Work collaboratively and diplomatically with stakeholders to define clear business objectives, functional requirements, and technical specifications. Solution Design: · Apply extensive technical knowledge and domain expertise, specifically in Healthcare recruiting and marketing , to design innovative solutions for complex business challenges. · Create detailed system and process flow diagrams, data models, and interface mock-ups. Technical Expertise: · Strong ability to program solutions using various languages such as SQL, Java, Python, or C#, and scripting languages like JavaScript for CRM customization and automation. · Stay abreast of emerging technologies, industry trends, and best practices. · Provide insights and recommendations for new tools and methodologies. · Experience integrating business systems with others like ERP (enterprise resource planning), CRM (computer relationship management), sales and marketing automation tools, and customer support software such as Microsoft Dynamics and Avature. · Experience working with back-end and application developers with tasks such as process documentation, resolving system errors, creating mock ups, and writing Agile user stories and acceptance criteria. Project Leadership: · Manage projects from initiation to completion, ensuring adherence to timelines, scope, and budget. · Provide mentorship to other analysts and enhance their skill development. Stakeholder Collaboration: · Engage with various business stakeholders, IT teams, and executive leadership to establish effective communication, understand business needs, and facilitate decision-making. · Act as a trusted advisor to business units. Quality Assurance: · Oversee the testing and validation of solutions, collaborating with testing teams to ensure quality standards are met. · Assist in troubleshooting and resolving issues. Requirements Management: · Develop and maintain comprehensive documentation including requirements, use cases, functional specifications, and other artifacts. · Ensure documentation accuracy and updates throughout the project lifecycle. Process Optimization: · Identify and recommend process improvement and automation opportunities. · Propose changes to enhance operational efficiency and contribute to business growth. Change Management: · Assess the impact of changes on business processes and systems. · Develop strategies for smooth adoption of new technologies and processes. Other: · Other duties as assigned. Job Specific Knowledge, Skills and Abilities: Required Qualifications: · Familiar with relational database architecture · Familiar with modern CRM solutions. · Strong knowledge of business analysis methodologies, processes, and tools. · Strong understanding of software development life cycle (SDLC) methodologies, including Agile development approaches like Scrum or Kanban, enabling effective collaboration in a team and adaptability to changing requirements. · Exceptional project management skills, capable of managing multiple complex projects, and delivering on time. · Advanced problem-solving skills and attention to detail. · Excellent and diplomatic communication and interpersonal skills, adept at conveying technical concepts to non-technical stakeholders. · Experience in leading cross-functional teams and mentoring analysts. · Ability to work collaboratively in a fast-paced environment. · Proficiency in tools such as JIRA, ADO, Confluence, Visio, or other relevant software. Preferred Qualifications: · Relevant certifications, such as CBAP or PMP, are advantageous, highlighting a commitment to professional development and advanced knowledge in a field. · Substantial HR and recruiting knowledge acquired through direct roles in these areas or IT or analytics projects focused on HR functions. A background in recruiting, specifically medical provider recruiting, coupled with technical skills, is particularly valued. Technical skills should include scripting, object-oriented programming, or systems analysis capabilities, extending beyond application skills like Excel. We seek individuals who can complement our development team with these advanced technical competencies. Required Qualifications: - Bachelor's Degree in Business, Information Systems or relevant field Or 10 year' of industry related experience. - 5 years of Analyst or leadership responsibilities/experience Preferred Qualifications: - Master's Degree IN MBA, MHA, MIS - Upon hire: IIBA certification - 8 years of Senior analyst or management role in healthcare recruiting and/or marketing Salary Range by Location: - AK: Anchorage: Min: $48.27, Max: $76.22 - AK: Kodiak, Seward, Valdez: Min: $50.32, Max: $79.45 - California: Humboldt: Min: $50.32, Max: $79.45 - California: All Northern California - Except Humboldt: Min: $56.46, Max: $89.13 - California: All Southern California - Except Bakersfield: Min: $50.32, Max: $79.45 - California: Bakersfield: Min: $48.27, Max: $76.22 - Montana: Except Great Falls: Min: $38.86, Max: $61.36 - Montana: Great Falls: Min: $36.82, Max: $58.13 - Oregon: Non-Portland Service Area: Min: $45.00, Max: $71.05 - Oregon: Portland Service Area: Min: $48.27, Max: $76.22 - Washington: Western - Except Tukwila: Min: $50.32, Max: $79.45 - Washington: Southwest - Olympia, Centralia & Below: Min: $48.27, Max: $76.22 - Washington: Tukwila: Min: $50.32, Max: $79.45 - Washington: Eastern: Min: $42.96, Max: $67.82 - Washington: Southeastern: Min: $45.00, Max: $71.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.