Make a difference. Be happy. Grow your career. The Role: The Application Analyst II provides advanced support for clinical and business applications within the Managed Services division of Nordic Global. This role requires a comprehensive understanding of the healthcare landscape, application functionalities and great responsibility in managing support requests, documentation, and vendor relationships. Key Responsibilities: - Respond to application support requests and incidents within defined SLAs, ensuring high-level customer service and communication. - Manage application and team documentation through proper document management lifecycles. - Maintain and expand relationships with software vendors, ensuring application teams receive top-tier support. - Plan and execute application upgrades, ensuring applications stay patched for security vulnerabilities. - Achieve necessary certifications and continue professional development. - Participate in and lead smaller analyst-led projects, taking on basic project management tasks such as scheduling calls, coordinating with team members, tracking follow-ups and communicating project status. - Gain proficiency in clinically integrated hospital and physician office workflows (both clinical and business). - Participate in the development and routine maintenance of detailed architecture documentation including system diagrams, and documentation of system dependency maps, integrations, and other critical components as needed to comply with disaster recovery, security, and operational requirements. - Participate in the entire application lifecycle to include implementations, upgrades, and eventual decommissioning and data archiving. - Work well independently, requesting help only when needed. Escalate appropriately after completing due diligence/proper investigation. Skills and Experience: - Bachelor's degree in Information Technology, Engineering, Healthcare Informatics, Computer Sciences, or a related field (relevant education and/or 8+ years’ industry experience). - 5 years’ experience in healthcare IT or equivalent IT application analyst position with degree requirement. - Proven analytical thinking and problem-solving skills. - Experience in executing ITIL-aligned service management processes, including Incident, Request, and Change Management - Excellent communication and customer service abilities. - Experience in managing application support and documentation. - Ability to work collaboratively in a team-oriented environment and independently. Additional Details: - Some roles may require participation in an on-call rotation to provide 24x7 support for critical applications, ensuring continuous and reliable service availability and travel as necessary to support the business. Nordic is an equal opportunity employer. We are committed to creating an inclusive environment for all employees and applicants. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, marital or veteran status, or any other protected status under applicable federal, state, or local laws. We encourage individuals of all backgrounds to apply, including women, minorities, individuals with disabilities, and veterans.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Please note: Candidates must reside within the state of Kentucky.*** Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. - Conduct investigations of potential waste, abuse, and fraud - Document activity on each case and refer issues to the appropriate party - Perform data mining and analysis to detect aberrancies and outliers in claims - Develop new queries and reports to detect potential waste, abuse, and fraud - Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions - Assist with complex allegations of healthcare fraud - Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies - Complete various special projects and audits - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: - Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required - Minimum of three (3) years Medicaid fraud, waste and abuse investigatory experience located in Kentucky dedicated 100% to the Kentucky Medicaid Program required Pay Range: $56,200.00 - $101,000.00 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

• Support the Pricing & Eligibility team by ensuring contract pricing data is accurate • Determine appropriate member access to contract pricing based on required customer criteria • Review and validate credit and rebill requests for completeness and accuracy • Provide customer service related to pricing and membership for internal and external partners • Capture and maintain required audit documentation • Review and complete assigned work in the queue according to department guidelines • Research supplier and customer pricing and membership claims and take corrective action as needed • Escalate issues to management in a timely manner • Work collaboratively on projects to identify solutions and process improvements

The responsibilities of an Operations Lead Analyst include monitoring daily request execution, reporting, and issue triaging for one or more owned client(s) upon request. Identifying operational or productivity enhancements, barriers, and opportunities for configuration and workflows. The Operations Lead Analyst will provide project and administrative support to leadership teams or Operations Advisors through escalation of issues, risks, and concerns as needed. Provides support to assigned projects by responding to inquiries or resolving complex issues using independent judgment, discretion, and general client knowledge. Routine communication of risk and status of owned clients and processes to leadership teams. What you'll do to make a difference: - Executes client requests and inquiries in alignment with SLAs and other contractual terms. - Monitors and triages client issues in alignment with SLAs and other contractual terms. - Adheres to all organizational SOPs and Compliance standards and provides subject matter input related to checklists and SOPs. - Assists with operational input related to new process development, including identification, research, and resolution of operational issues, and provides training and mentoring for new team members, offshore, and contingent employee resources. - Complies with ESI document and retention requirements. - Provides exceptional service to clients. - Collaborates cross-functionally and communicates effectively with necessary internal partners. - Communicates issues and status clearly and timely to leadership teams. - Maintains working relationships through collaboration with Account Management and clients for requirements intake and issue resolution; IT for system issues, setup, and testing; Product Teams to coordinate setup and resolve issues; Quality Teams for issue resolution and documentation; and Leadership Teams for initiative engagements and client health updates. What you need to be successful: - High School Diploma or GED required. Bachelor's degree preferred. - 3+ years of relevant experience required. - Strong knowledge of the healthcare and PBM industry and its products and services highly preferred. - Detail-oriented with strong analytical and problem-solving skills. - Ability to manage timelines and meet tight deadlines. - Ability to adapt in a dynamic work environment and make independent decisions. - Good organizational and prioritization skills with the ability to multitask. - Demonstrated ability to work with other departments and teams to resolve issues. - Experience with the use of ERP systems. - Proficient computer skills including all Microsoft office applications required. - Experience with data input and reconciliation. 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 62,600 - 104,300 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 Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.