• Act as the primary contact for HR process analysis, design, optimization and documentation • Drive the standardization and harmonization of global and regional HR processes • Identify process gaps, inefficiencies and automation opportunities • Support the configuration, testing and continuous improvement of HR tech solutions • Collaborate closely with HR Employee Services, HR BP teams, Payroll, IT and external vendors • Ensure compliance with relevant legal, regulatory and data protections requirements • Support the creation and maintenance of SOPs, knowledge articles and HR documentation • Manage project timelines, milestones, deliverables, risks and stakeholder communication • Contribute to the development of global HR process frameworks and project governance standards

Requisition Number: 2349316 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Have you been working with Utilization Management systems and/or Claims Payment systems and their associated HIPAA X12 EDI 278 Authorization transactions? Are you looking for an opportunity to expand your experience working with EDI 278 integrations in the health care industry? We have a great opportunity for an individual to lead trading partner integrations from end to end working with our proprietary Medical Management system (MMS) and connecting it to a variety of Claims systems (FACETS, IDX, Xcelys and IKA, just to name a few). The EDI Solutions Analyst ensures that the technical integration between the MMS and Claims systems is seamless to our end users for all Authorization Data using an EDI 278 transaction. Our technical environment includes an Azure cloud-based database solution where we talk to a PostGres SQL databases for our core application database technology along with leveraging Snowflake SQL to interact with our reporting data warehouse for conducting EDI 278 statistical analysis on the health of our EDI 278 integrations as well as conducting deep dive transaction research for troubleshooting integration issues. You will use your existing database SQL skills to broaden your understanding of the required data mapping necessary to stand up the EDI 278 transaction for our trading partners. Can you articulate and interpret business requirements and compare them against the industry standard technical implementation guide of the X12 278 transaction giving trading partners real-world scenario variances of the allowed usage for the specific loop-segment-element of the EDI 278 transaction? If this sounds like what you have been doing and something you want to continue to build upon your existing in-depth knowledge of how the EDI 278 (Authorization/Referral) transaction works in health care, please read on and apply as we have an opening on our team and would like to hear from you about your existing specialized experience in this space. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: - Monitor Daily EDI Transaction Processing - Troubleshoot and Resolve any EDI processing issues - Implementation Team Resource for EDI validation and Testing as required - Prepare and update program documentation, job aides, and other artifacts as requested - Process review, data analysis and measurement for various programs related to prior authorizations, claims and member eligibility - Preparation of reports as needed by management - Identification and communication of processing issues to leadership - May involve some interfacing with clients, managed care customers, IT resources and others when needed - Assignment of special projects as needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - 2+ years of experience within the healthcare data environment - eligibility, provider, claims, etc. - 2+ years of experience with data mapping and workflow documentation - EDI 278 production support and maintenance experience including editing and correcting X12 278N transactions for resubmission to Trading Partners - EDI testing and validation experience - Healthcare IT experience - Experience with SQL (manipulating data and queries) - Relational databases like MySQL, MS SQL, DB2 - Experience using Microsoft Word (creating and editing documents), Microsoft Outlook (email and calendar), Microsoft Excel (pivot tables, formulas (vlookup, xlookup, match, etc..) and Microsoft Visio (process/data flow diagrams) and Microsoft Teams - Healthcare EDI transaction knowledge and expertise - Specific EDI X12 ANSI 278 transaction expertise - Proven ability to multi task in a very intensive Email, Teams Chat, Service Now Ticketing System and Meeting environment while continuously managing EDI 278 transaction maintenance and support Preferred Qualifications: - Bachelor's degree in CS or technology discipline - 2+ years of EDI 278 transaction mapping experience - Experience working with cloud-based solutions and services - Knowledgeable about claims billing practices and process management concepts - this may include knowledge of CPT coding or reimbursement processes, 3rd party provider enrollments, claims submissions, EDI 278 and - HIPAA transactions and/or accounts receivables - Proven ability to write clear technical and functional specs for authorization data integration services Soft Skills: - Solid organization skills and attention to detail - this is very critical skill requirement - Excellent communication skills, both verbal and written, with the ability to interact with various levels of resources internally and externally *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

The Business Project Sr. Analyst position is within Payment Integrity (Medicare and Commercial Coordination of Benefits Operations and Enhancements). The Sr. Analyst will be a key contributor and will report to the Operations Manager. Responsibilities Utilizes Medicare and Commercial Health Insurance expertise in conjunction with strong analytical and collaboration skills to partner with matrix partners and vendors ensuring accurate and timely benefit primacy determination in complex scenarios. Communicates effectively with Cigna's vendor partners to assist them in maximizing post payment recovery efforts. Responds timely to complex share point inquiries (Intake application). Analyzes weekly/monthly vendor management reporting for accuracy and assists with Cigna’s determination as primary or secondary payer in complex situations. Partners effectively with claim, call and client technical coaches to address primacy determination quality trends and efficiency improvement opportunities. Responds to requests for access to COB Smart portal and trouble shoots access issues within portal. Participates in projects to support business initiatives. Qualifications Bachelor’s degree or higher strongly preferred work experience required. 2+ years of work experience with Medicare and coordination of benefits primacy rules. 2+ years claim system and claim processing knowledge (Proclaim and Facets) preferred. 2+ years experience using Cigna applications (iview, CED, Oneview, etc.). Ability to work collaboratively within team as well as with matrix partners and outside vendors. Ability to recognize and respond to issues with the appropriate sense of urgency, escalating problems as appropriate. Strong time management skills. Strong business acumen with the ability to multitask in a fast-paced environment. Strong proficiency in Microsoft Office products, including Microsoft Excel, with the ability to create and generate spreadsheets. Strong analytical skills with the ability to analyze data, identify potential problems or opportunities, and recommend and implement solutions. Excellent verbal and written communication skills, including the ability to explain complex or technical topics clearly, communicate effectively with individuals and groups, and actively listen. Detail-oriented with strong organizational and relationship-building skills. Experience coaching peers preferred. Demonstrated ability to positively embrace and adapt to change. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 64,900 - 108,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

At Roche you can show up as yourself, embraced for the unique qualities you bring. Our culture encourages personal expression, open dialogue, and genuine connections, where you are valued, accepted and respected for who you are, allowing you to thrive both personally and professionally. This is how we aim to prevent, stop and cure diseases and ensure everyone has access to healthcare today and for generations to come. Join Roche, where every voice matters. The Position Business Process Specialist (Diagnostics Division) Company: Roche Ukraine LLC (Diagnostics Division) Work format: Remote Schedule: Mon–Fri, 09:00–18:00 (with lunch break) Location: Ukraine (occasional short business trips within Ukraine, up to ~10%) Role purpose To ensure seamless operational support for the Diagnostics division: from supporting direct contracts between Roche Diagnostics Poland (RDP) and healthcare institutions / laboratories and onboarding new customers, to coordinating promotional materials, logistics of service tools, hotline operations, and participation in complaint handling (including for indirect channel customers via the Distributor). The role acts as the key “process integrator” between Sales (RDP), Service/Field Service, Medical / Regulatory Affairs, Marketing, Logistics, and other enabling functions. Key responsibilities (broken down by functional area) 1) Support of direct contracts between Roche Diagnostics Poland (RDP) and healthcare institutions / laboratories● Manage document flow between Roche Diagnostics Poland (RDP) and healthcare institutions / laboratories (agreements, addenda, service acts, specifications), including verification of counterparties’ legal and financial details. ● Organise internal contract approvals with Finance/Tax, Legal, and Compliance; monitor SLA for approvals. ● Maintain contract registers in internal systems (ERP/CRM/DMS); ensure timely status/version updates. ● Track renewal/termination timelines, monitor fulfilment of KPIs / service obligations. ● Ensure alignment with internal policies (anti-corruption, interactions with healthcare professionals / institutions, promotional practices). 2) Customer onboarding and training● Own and execute onboarding checklists: document collection, account set-up, supply / delivery schedule coordination. ● Plan and coordinate trainings (online/offline): introduction to products/services, ordering process, service request process, warranty policies. ● Develop / adapt training materials (user guides, SOPs, short video/step-by-step instructions); collect feedback; provide post-onboarding support at 30–60–90 days. ● Maintain a customer-facing knowledge base (FAQ, instructions, recorded webinars) in the DMS / customer portal. 3) Process and document flow optimisation● Draft, standardise, and regularly review SOPs / instructions / templates; implement checklists and quality control points. ● Drive “paper → digital” transition: rollout of DMS / e-forms; keep responsibility matrices up to date. Perform internal process audits for compliance with QMS, internal policies, and regulatory requirements. ● Prepare process analytics: turnaround time (TAT), document completeness rate, SLA performance; propose improvement actions. 4) Processing and coordination of promotional materials● Plan, request, localise, submit for Legal / Compliance review, produce, and distribute promotional materials. ● Ensure that all promotional activities comply with Ukrainian advertising law and internal policies governing interaction with the medical community. ● Track and document circulation and use of materials: print runs, stock levels, transfer to events / field teams, and proper disposal according to procedure. ● Prepare post-campaign reports: execution vs plan, reach / utilisation, and recommendations for optimisation. 5) Logistics of service tools● Coordinate the movement of service tools / kits / spare parts to and from field locations (including reverse logistics). ● Maintain inventory and lifecycle records for tools (issuance/return logs, calibration, write-off). ● Interact with couriers / warehouse; control delivery timelines, resolve incidents, minimise service downtime. ● Ensure occupational safety, quality, and handling standards during transport and storage. 6) Hotline coordination● Receive customer calls / requests, perform initial qualification, log cases, and route them to responsible teams (Service, Ordering, Complaints). ● Follow communication scripts and service standards; monitor response / closure times and follow up with the customer. ● Maintain the operator knowledge base; participate in training and quality monitoring. 7) Complaint / claim handling support● Register, perform initial screening, and escalate cases on time according to QMS procedures. ● Coordinate information and material collection (serial numbers, lot numbers, photos, supporting documents); liaise with QA/RA, Service, and Manufacturer. ● Monitor timelines and status; communicate with the customer and Distributors (indirect channel). Candidate profile - Must Have ● 2+ years of experience in an operations / process / service role in one of the following: healthcare / pharma / IVD / FMCG / logistics / telecom. ● Hands-on experience managing contracts / document flow, coordinating approvals, and working with multiple stakeholders. ● Experience in customer-facing or support roles (hotline / service desk / onboarding / front-office + back-office support). ● Confident user of ERP / CRM / DMS systems (e.g. SAP / 1C, Salesforce, SharePoint / Confluence) and Excel / Google Sheets (expected level: formulas, pivot tables). ● Understanding of QMS principles, compliance, and basic rules around promotion in healthcare. ● Ukrainian – fluent. English – at least Pre-Intermediate (A2). Nice to Have ● Work experience in IVD / medical devices / pharma (QA, RA, Service, Order Management). ● Skills in process analysis, SOP / checklist development, and facilitation of workshops. ● Basic understanding of legal requirements for advertising medical devices and personal data protection (GDPR / Ukrainian data protection law). Soft skills ● Structured, detail-oriented, reliable. ● Service mindset and strong communication skills (verbal and written). ● Time management, prioritisation, ability to run multiple workstreams in parallel. ● Maturity in handling confidential information and compliance-sensitive topics. Employment terms & compensation ● Official employment under the Labour Code of Ukraine; probation period up to 3 months (subject to agreement). ● Paid annual leave of at least 24 calendar days, and sick leave according to Ukrainian legislation. ● Overtime is compensated only if agreed in advance and according to the Labour Code. ● Remote work; work tools and equipment are provided according to company policy. Key stakeholder interactions Sales, Service / Field Service, Logistics, Medical / Regulatory Affairs / Quality Assurance, Marketing, Finance / Tax / Legal / Compliance, Customer Support, Distributors (indirect channel), and customers (healthcare institutions / private laboratories). Legal and ethical notes ● Roche Ukraine LLC is an equal opportunity employer. We do not allow discrimination on any grounds, in line with Ukrainian law. ● By submitting a CV, you consent to the processing of your personal data in accordance with the Law of Ukraine “On Personal Data Protection” and internal company policies. ● During the recruitment process we do not require information unrelated to job performance (e.g. marital status, religious beliefs). A photo is optional. Who we are A healthier future drives us to innovate. Together, more than 100’000 employees across the globe are dedicated to advance science, ensuring everyone has access to healthcare today and for generations to come. Our efforts result in more than 26 million people treated with our medicines and over 30 billion tests conducted using our Diagnostics products. We empower each other to explore new possibilities, foster creativity, and keep our ambitions high, so we can deliver life-changing healthcare solutions that make a global impact. Let’s build a healthier future, together. Roche is an Equal Opportunity Employer.