Provide decision support across business areas by applying analytical techniques to solve problems, translating recommendations into communication materials, and ensuring effective data gathering and documentation to drive strategic business decisions.

• Elicits, analyzes, and documents business requirements • Conducts interviews to gather business requirements via workshops, questionnaires, surveys, workflow storyboards, use cases, scenarios, and other methods • Works with stakeholders and project team to prioritize collected requirements, which may often include partner vendors • Translates conceptual requirements in a manner that is clear to the solutions vendors, internal technical teams, and the project team • Creates process models, specifications, diagrams, and charts to support user stories and provide direction to solutions vendors and/or the project team • Analyzes and verifies user stories for completeness, consistency, comprehensibility, feasibility, and conformity to standards • Defines precise and accurate acceptance criteria that will be used to ensure that business objectives are effectively captured • Develops and utilizes standard templates to accurately and concisely write user stories and resulting test plans • Participates in the testing and quality assurance of solutions to ensure features and functions have met gathered requirements • Communicates changes, enhancements, and modifications of business requirements verbally or through written documentation to project managers, sponsors, and other stakeholders so that issues and solutions are understood • Directly configures and prototypes various system changes in target systems in support of business needs, including Enrollment, Invoicing/Billing, as well as other functions as appropriate • Analyzes, interprets, loads, tests and maintains configurable tables

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