Looking for a meaningful way to make a difference in the lives of older adults? At PacificSource PACE LLC, you will be part of a team that provides compassionate, coordinated care that helps participants live safely, independently, and with dignity. Our approach honors the whole person, and that includes the people who work here. At PACE, you will join colleagues who value respect, connection, and shared purpose. We create space for every team member to contribute their strengths, grow in their role, and feel supported in the important work of caring for our community. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to disability, veteran status, race, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, age, or any other protected status. We are committed to reflecting the diversity of the communities we serve and creating a workplace where differences are celebrated and everyone can thrive. The PACE Business Analyst plays a critical role in supporting data-driven decision-making across clinical and financial operations. This position is responsible for analyzing utilization management data, evaluating HCC (Hierarchical Condition Category) coding models, coordinating the one-third Financial Audit, Part D Bid(s), reviewing IBNR (Incurred but Not Reported) claims estimates, and providing actionable insights to the Chief Medical Officer and Program Director for budgeting and financial performance. The ideal candidate will possess strong analytical skills, healthcare finance knowledge, and a deep understanding of managed care operations. Essential Responsibilities: - Analyze trends in service utilization, hospital admissions, and care coordination. - Identify cost drivers and opportunities for care optimization. - Collaborate with IT in the development of dashboards and reports to monitor key utilization metrics from both claims-based and Electronic Health Record (EHR) data. - Evaluate HCC coding trends and the impact to Per Member Per Month payments. - Collaborate with coding and clinical teams to improve risk score capture. - Collaborate with the Finance and Actuarial Teams to model financial impacts of coding changes on capitation payments. - Serve as the primary liaison for the annual Centers for Medicare and Medicaid Services (CMS) one-third Financial Audit. - Coordinate data collection, validation, and submission processes. - Participate in the development of the Part D bid. - Collaborate with compliance regarding CMS audit requirements and timelines. - Develop annual PS PACE Budget. - Review actuarial estimates of IBNR claims. - Validate assumptions and methodologies used in IBNR calculations. - Provide insights to support accurate financial forecasting and reserve setting. - Monitor and validate the accuracy of medical and pharmacy claims adjudication. - Identify and resolve discrepancies or errors in claims processing. - Reconciliation of Residential and Long Term Care services claims as compared to PACE Interdisciplinary Team authorized services. - Collaborate with the pharmacy benefit manager (PBM) and internal teams to ensure compliance with CMS guidelines and cost containment strategies. - Prepare presentations and reports for senior leadership. - Translate complex data into clear, actionable recommendations. - Support strategic planning and budget development processes. Supporting Responsibilities: - Meet department and company performance and attendance expectations. - Follow privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. - Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of 3 of experience in healthcare finance, preferably in a PACE, Medicare Advantage, health system, or managed care setting. Experience working with geriatric or frail populations is preferred. Education, Certificates, Licenses: Bachelor’s degree required. Preferred areas of study: accounting, healthcare administration, finance, business, data analytics, or related field. Candidates with an associate’s degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered. Knowledge: Strong knowledge of CMS regulations, HCC coding, and Part D financial requirements. Proficiency in data analysis tools (e.g., Excel, SQL, Workday, Power BI, Tableau). Excellent communication and presentation skills. Ability to work independently and collaboratively in a fast-paced environment. Experience with actuarial modeling or financial forecasting. Familiarity with Electronic Health Record systems and claims data structures. Understanding quality metrics and value-based care models. Each member of the PACE organization's staff that has direct contact with participants must meet the following conditions: - Be legally authorized (for example, currently licensed, registered or certified if applicable) to practice in the State in which he or she performs the function or action. - Only act within the scope of his or her authority to practice. - Have 1 year of experience working with a frail or elderly population - Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently. - Be medically cleared for communicable diseases before engaging in direct participant contact. Competencies - Adaptability - Building Customer Loyalty - Building Strategic Work Relationships - Building Trust - Continuous Improvement - Contributing to Team Success - Planning and Organizing - Work Standards Environment: Work inside in general office and clinical settings with ergonomically configured equipment. Travel is required approximately 10% of the time. Skills: Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $58,074.38 - $92,919.03 Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: - We are committed to doing the right thing. - We are one team working toward a common goal. - We are each responsible for customer service. - We practice open communication at all levels of the company to foster individual, team and company growth. - We actively participate in efforts to improve our many communities-internally and externally. - We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. - We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Work is performed in a clinic setting with typical healthcare exposures, including contact with bodily fluids, infectious diseases, and cleaning chemicals; PPE is provided and required. The role involves stooping, bending, sitting, standing, and moving between clinical areas for extended periods. May assist participants with mobility, including guiding, supporting, escorting, and occasional transfer assistance using proper body mechanics. Must be able to lift, push, pull, or carry up to 35 pounds occasionally and perform frequent repetitive motions such as typing and operating medical or office equipment. Some positions require occasional travel to PACE sites, participant homes, or external appointments. Must be able to speak clearly, understand verbal instructions, and interact professionally with participants, caregivers, and staff. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

• Analyze business goals, objectives, and needs • Planning and designing business processes • Making recommendations for improvements • Collaborate with the product lead • Rotate through different teams for insights • Utilize AI for efficiencies and accelerate delivery • Support business intake, requirements gathering, and issue resolution • Perform research and analysis for operations

We’re looking for a proactive and delivery-focused Business Analyst to play a hands-on role in Capita’s large-scale Citizen Contact Transformation Programme. You will be at the centre of our work to redesign, modernise and transform contact centre and back-office operations—enabling an AI‑enabled, future‑ready customer experience. In this role, you’ll work closely with programme leads, operational teams and technology partners to understand complex business needs, shape future processes and ensure we deliver effective, measurable change at pace. Job title: Business Analyst Job Description: What you'll be doing: Business Analysis & Requirements Management - Work with programme leadership, operational SMEs and technology teams to understand transformation objectives and business needs. - Elicit, document and manage business, functional and non-functional requirements across several workstreams. - Produce clear artefacts, including process maps, requirements, user stories and impact assessments. - Maintain full requirements traceability to ensure delivery aligns to agreed scope, outcomes and benefits. Process & Service Design - Analyse current (“as-is”) processes across contact centre and back-office environments to identify optimisation opportunities. - Support the design of improved (“to-be”) operating models aligned to transformation goals. - Identify change impacts across people, process, technology and data. Stakeholder Alignment & Engagement - Act as a key link between operations, technology and programme teams to ensure clarity, alignment and shared understanding. - Facilitate workshops and discussions with senior stakeholders, SMEs and cross-functional teams. - Communicate requirements, impacts and design decisions clearly and effectively. - Demonstrate resilience when dealing with stakeholders navigating change or resistant to giving information. Delivery & Change Support - Support delivery through design, build, test and implementation phases. - Assist in business readiness, transition and adoption planning. - Link requirements to expected outcomes and support benefits tracking to ensure measurable value. What we're looking for: Essential Experience - Proven experience as a Business Analyst delivering change or transformation. - Experience within contact centre and/or back-office operational environments. - Strong skills in requirements elicitation, documentation and analysis. - Experience mapping processes and supporting future-state design. - Ability to work effectively with operational, business and technical stakeholders. - Clear communication skills, with the ability to simplify complex information. - Strong stakeholder management, especially in high-pressure environments. - Ability to work at pace and handle competing priorities. Why Join Us? This is an opportunity to directly influence a major transformation shaping the future of Capita’s contact centre and back-office operations. You’ll help bring to life a new, AI-enabled service model that improves customer experience and operational efficiency—while gaining exposure to complex, high-profile change initiatives. About Capita: Capita is an outsourcer, helping clients across the public and private sectors run complex business processes more efficiently, creating better consumer experiences. Operating across 8 countries, Capita’s 41,000 colleagues support primarily UK and European clients with people-based services underpinned by market-leading technology. We’re a vital support service for our clients, enabling the everyday interactions that we expect to run seamlessly, to run seamlessly. A publicly listed business with adjusted revenue of £2.6bn, Capita’s areas of focus are Central Government, Local Public Service, Defence, Learning, Fire & Security, Contact Centres and Pensions Solutions. We’re embracing change to respond to the ever-changing needs of society, creating better outcomes for all our stakeholders What’s in it for you? - 23 days’ holiday (rising to 27) with the opportunity to buy extra leave - The opportunity to take a paid day out of the office, volunteering for our charity partners or a cause of your choice - Auto-enrolment to our company pension, life assurance, a cycle2work scheme, 15 weeks’ fully paid maternity, adoption and shared parental leave, paternity pay of two weeks…and plenty more - Voluntary benefits designed to suit your lifestyle – from discounts on retail and socialising, to health & wellbeing, travel and technology - Access to our Employee Network Groups, which represent every strand of diversity and allow colleagues to connect and learn from each other on an open, inclusive platform - You’ll get the chance to follow your chosen career path anywhere in Capita. You’ll be joining a network of experienced, innovative and dedicated individuals across multiple disciplines and sectors. There are countless opportunities to learn new skills and develop in your career, and we’ll provide the support you need to do just that. Our purpose is to create a better outcome for you. What we hope you’ll do next: Choose ‘Apply now’ to fill out our short application, so that we can find out more about you. Equal Opportunities At Capita, we’re committed to providing an inclusive, barrier-free recruitment process and working environment for everyone. We want everyone to have the best chance of succeeding as they move through their application and start their career with us. We are an equal opportunity and Disability Confident employer, we want to hear from you if you’d like to discuss any adjustments you might need during your recruitment process. Please email reasonableadjustments@capita.com or call 07784 237318 and we’ll get back to you to discuss. For more information about equal opportunities and the types of adjustments we can offer, please visit the Capita Careers website. As part of our commitment to building an inclusive and diverse workforce, we would particularly welcome applications from people who are from Black, Asian and other ethnic minority backgrounds. Location: Home-Based - GBR, United Kingdom Time Type: Full time Contract Type: Permanent

Capio Group is looking for an experienced Business Solutions Analyst! Full-time employee - Remote Salary: $120,000 - $130,000 About Us: Capio Group is a California-based Information Technology Consulting firm serving the public sector since 2010. We assist the Government in delivering large, complex systems and solutions. Capio Group is a small, but quickly growing firm that mixes good ideas, with great people, to achieve extraordinary results for our clients. We offer the salary and benefits of the bigger companies, with the added bonus of a flexible workplace and a great work-life balance. Scope of Work: Capio Group is looking for an experienced Business Solutions Analyst to be a part of a team to provide business analysis services to help manage and oversee planning activities and Stage 4 of the Project Approval Lifecycle (PAL) for the client Information Technology (IT) Systems Modernization project. The Business Solutions Analyst will assist with the remaining project planning activities, managing, supporting, and guiding, conducting project readiness, legislative analysis, PAL Stage 4 documentation, and the evaluation of proposals for the Solution Integrator, preparing for Solution Integrator onboarding, and transitioning to the implementation activities after project approvals. To accomplish these activities, the Business Solutions Analyst will be responsible for tasks including but not limited to: - Assess and incorporate changes to the Project resulting from ongoing legislation using the project’s change control process. - Participate and contribute to project planning activities, including but not limited to assisting with the primary solution solicitation and the development of CDT PAL Stage 4 deliverables. - Define, plan, and conduct implementation preparation activities to include but not limited to: - (i) Prepare and/or update project repositories, artifacts, tools, policies, and processes. - (ii) Ramp-up of a solution vendor to assume responsibilities for leading, overseeing, and completing assigned tasks and deliverables that will be required of state staff, primary solution and ancillary vendors - Conduct effective project management through remaining PAL stages. - Provide project management support to the client project management team. - Assist the client in the completion of Solution Integrator (SI) Request for Proposal (RFP) development. Mandatory Experience: - Within the last ten (10) years, must have at least five (5) years of experience applying analytical processes on IT projects. *Desirable Qualification scores may be awarded for additional years of experience. - Within the last ten (10) years, at least three (3) years of applying analytical processes on IT Projects experience must have been in business systems analysis and design. *Desirable Qualification scores may be awarded for additional years of experience. - Must possess a Bachelor’s Degree. Additional qualifying experience may be substituted for the required education on a year-for-year basis. A copy of the degree must be provided upon request. NOTE: If no degree, Resource would need to demonstrate a total of nine (9) years of experience to meet (i.e., minimum five (5) years + four (4) additional qualifying years). - Within the last ten (10) years, must have three (3) years of experience in analyzing legislative mandates and regulations to identify their impact on system requirements. *Desirable Qualification scores may be awarded for additional years of experience. - Within the last ten (10) years, must have three (3) years of experience preparing PAL documentation and artifacts for IT projects, specifically for Stages 3 and 4. *Desirable Qualification scores may be awarded for additional years of experience. - Must be able to provide a client/user end reference contact information for each applicable project that are similar in nature and scope meeting the requirements upon request in the qualification form. In addition, you must be able to submit completed reference forms when requested. The reference contact must be a representative of the company for which the project was developed and must have served in a management or supervisory role. Desirable Experience: - Possession of a Master’s Degree or doctorate from a recognized college or university. Additional qualifying experience may be substituted for the required education on a year-for-year basis. A copy of the degree must be provided upon request. Alternatively, additional qualifying experience may be substituted for the required education on a year-for-year basis. NOTE: If no Master’s degree, Resource would need to demonstrate an additional two (2) years of experience in addition to the experience used to meet MQ 1. (A total of eleven (11) years of experience). Equal Opportunity Employer: At Capio Group, our employees are our greatest asset and diversity, equity, and inclusion are at the core of who we are. Our commitment to these values is unyielding and is central to our mission and to our impact. We know that having diverse perspectives helps to generate better ideas to solve the complex problems of our diverse clients and the communities they serve.