Title: SIU Senior Recovery Resolution Analyst Location: United States Remote Requisition number: 2370585 Job category: Medical & Clinical Operations Overtime status: Non-exempt Travel: No Job Description: 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. Employees are responsible for triaging, investigating, and resolving potential instances of healthcare fraud and/or abusive conduct by medical professionals or providers. Using information from tips, complaints, external intelligence or behavior data, the medical community and law enforcement, employees conduct confidential investigations and document relevant findings and report any illegal activities in accordance with all laws and regulations. Identify, communicate, and recover losses as deemed appropriate. These investigations may include participation in telephone calls or meetings with providers, members, clients, legal compliance, and other investigative areas and requires adherence to state and federal compliance policies, reimbursement policies, and contract compliance. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Gather and analyze data and information gathered to determine behavior and understand provider/scheme at issue - Utilize appropriate documentation and tracking controls in the case tracking system to ensure compliance and auditability requirements are met - Collaborate with SIU Lead Investigator to apply knowledge of coding guidelines to determine validity of aberrances. - Collaborate with a variety of external sources to identify current and emerging patterns and schemes related to FWA - Perform member and provider interviews, and review medical documentation as needed - Communicate with legal, Law Enforcement, clients and business partners as needed - Perform all other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School Diploma/GED - 5+ years of experience working in a FWA / SIU or Fraud investigations role - Certified Professional Coder (CPC, CCS, CPMA) or RHIT - 2+ years of experience within the health insurance claims industry - 1+ years of knowledge and/or experience with medical/behavioral health codes and service delivery - Intermediate level of proficiency in Microsoft Excel (pivot tables and macros) and Word (creating, editing, and saving documents) Preferred Qualifications: - Associate's degree in Criminal Justice or experience in a related field - 2+ years of experience working with law enforcement or legal entities or 3+ years of investigative experience with fraud investigations - Professional certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar - Familiar with CPT code terminology - Experience with computer research - Experience with regulatory compliance - Experience with data analysis as it relates to financial recovery/settlements - All Telecommuters 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 $24 to $43 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 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. #RPO #GREEN

Title: ITSM Entitlement Analyst Location: United States City Remote Country United States Working time Full-time Description & Requirements Maximus is a trusted federal partner supporting mission‑critical programs across national security, defense, and public service delivery. Our work focuses on sustaining, operating, and improving essential government systems and services, with proven operational excellence, and a commitment to mission success for our customers. Joining Maximus means becoming part of a collaborative, mission‑driven organization where teamwork, accountability, and professional growth are core to how we operate. We invest in our workforce through training, education, and career development, empowering professionals to deliver high‑impact solutions while contributing to outcomes that matter at a national scale. This position is contingent upon contract award and position availability. Selected candidates will receive a contingent offer of employment, which will become final only upon successful contract award to Maximus, availability of the position, and receipt of authorization to proceed. Ability to obtain and maintain a Public Trust is required. An active Public Trust and/or DHS suitability is preferred. Must be a U.S. Citizen without dual citizenship. This role is remote. The ITSM Entitlement Analyst supports the contract by providing enterprise software licensing and business process analysis services across desktop software environments. This role coordinates multiple commercial software publishers, tracks and validates hundreds of software entitlements, supports procurement and onboarding of managed publishers, and produces contract deliverables to ensure licensing compliance, optimization, and alignment with federal IT governance requirements. The position contributes subject matter expertise in software asset management in support of enterprise IT operations. Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job-Specific Essential Duties and Responsibilities: - Coordinate and manage relationships with 30+ commercial software publishers, supporting enterprise desktop software licensing operations across the contract. - Track, analyze, and maintain compliance for 400+ software entitlements, ensuring accurate usage, renewals, and reconciliation with contract terms. - Provide subject matter expertise in desktop software licensing, including onboarding new publishers, validating license compliance, and identifying optimization opportunities. - Support the procurement and onboarding of new managed publishers, including requirements analysis, documentation, and coordination with acquisition stakeholders. - Produce and contribute to contract deliverables, reports, and artifacts supporting enterprise IT operations and asset management. - Analyze business processes related to software asset management and licensing, recommending improvements aligned with federal IT governance and contract requirements. - Collaborate with technical, procurement, and program management teams to ensure licensing activities align with contract objectives and policies. Job-Specific Minimum Requirements: - Demonstrated experience coordinating with multiple commercial software publishers/vendors in an enterprise IT environment, including license onboarding and ongoing relationship management. - Proven ability to track, manage, and reconcile large volumes of software entitlements (hundreds of licenses), ensuring accuracy, audit readiness, and compliance with contract terms. - Hands-on experience providing software licensing subject matter expertise, including validating compliance, supporting renewals, and identifying optimization or cost‑avoidance opportunities. - Experience supporting IT procurement activities, including requirements documentation, coordination with acquisition teams, and onboarding of new managed publishers. - Strong analytical skills to analyze business processes, identify gaps or inefficiencies, and recommend improvements related to software asset management and licensing operations. - Experience producing formal deliverables, reports, and documentation in support of federal IT programs or enterprise IT operations. - Ability to collaborate effectively with technical, procurement, and program management stakeholders in a regulated federal environment - Bachelor’s degree in business, Information Systems, Management, or a related field (or equivalent experience) - 5+ years of experience in business analysis, IT asset management, software licensing, or enterprise IT support Preferred Skills and Qualifications: - Experience supporting federal IT programs under GSA MAS or similar contract vehicles - Strong knowledge of software asset management (SAM) and desktop licensing models -Experience supporting IT procurement and vendor onboarding - Advanced skills in Excel, reporting, and entitlement tracking - Strong written communication skills for formal deliverables and compliance documentation #techjobs #clearance #veteransPage #LI-remote Minimum Requirements TCS015, P3, Band 6 #TSTECH EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews, Minimum Salary $ 50,000.00 Maximum Salary $ 80,000.00

Manage and negotiate government contracts, ensuring compliance with policies and specifications. Build relationships with clients and project teams while advising on contractual obligations and driving process efficiency.

Title: Compensation Analyst (Location Flexible) Location: Fort Lauderdale United States Full time job requisition id: JR119815 Job Description: We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You'll find an environment that inspires and empowers you to thrive both personally and professionally. There's no one like you and that's why there's nowhere like RSM. The Compensation Analyst is responsible for administering and assisting in the development of various domestic and global compensation programs. Responsibilities include salary survey participation, annual compensation benchmarking, salary administration program review and analysis, maintenance of the salary structures, job market pricing and evaluation, contributing to the design and implementation of the compensation strategy, and preparation of educational materials. Responsibilities: - Assists Compensation management team to develop, administer, and implement market competitive compensation programs. - Analyzes job roles and responsibilities to determine appropriate compensation grades - Initiates data gathering for participation and completion of salary surveys conducted by third parties. - Implements and maintains compensation reporting tools including the salary modeling tool. - Participates in the salary administration process including: preparation, analysis, and finalization of tools - Maintains salary structures including annual market range updates and ongoing job maintenance. - Assists in the implementation and administration of organization bonus and incentive plans. - Assists in the development and preparation of compensation training materials. - Develops, designs, and maintains report requests, tables, report formats, documentation, and data integrity practices to be used for consistent reporting. Develops reports for external and internal reporting of employee information based on users requests. - Organizes, compiles and analyzes data into information communications, reports and presentations to be used for decision making by HR leaders, Operational leaders, and/or other groups - Other duties as assigned. Required Qualifications: - Bachelor's degree or equivalent combination of education and experience - Ability to prepare presentation, including charts, graphics, and tables as required. - Proficient with Microsoft Office Suite with advanced knowledge of MS Excel (pivot tables, formulas and large data sets). - Demonstrated data collection, analytic and data reporting/presentation skills required. Preferred Qualifications: - 2-3 years' experience in compensation Location flexibility: baseline expectation that employees and owners may perform work from home, an office, a client site, or other relevant business locations, with in‑person attendance required when business needs, collaboration, client service, development, or travel warrant it. Working from home frequently or primarily does not change this expectation At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life's demands, while also maintaining your ability to serve clients.  All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law. RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate. At RSM, an employee's pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range. Compensation Range: $66,100 - $110,000 Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.