Role 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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. - Build and maintain short and long-range demand forecasts and capacity plans to drive conversations related to business level performance vs. forecasted performance, future planning assumptions, and potential service risks. - Be a Trusted Advisor to Operations, team members, and management as needed, as well as being a resource to all Business Partners. - Drive collaboration and alignment between Workforce Analysts (WFA), Short Range Planning (SRP), Long Range Planning (LRP), Scheduling & Configuration, and Transformation teams. - Facilitate data-driven, fact-based discussions and decisions about future performance. - Present and explain complex staffing requirements in common language for all aligned LOBs to operational partners, including appropriate follow-up across all stakeholders. - Analyze performance/time metrics (e.g. availability, utilization, efficiency, VPH, OT, PTO) to find areas of opportunity that increase Operation's ability to deliver effective, timely service. - Proactively plan according to current trends; strategize based on anticipated trends and projections. - Work with business partners to understand their processes and workflow. - Ensure completeness and accuracy of plan setup by understanding and validating the correct mapping of all required components. - Ensure accuracy in forecasting, maintaining a variance in line with MBO goals for each business. - Actively participate in planning enhancement initiatives by attending all meetings related to training, development, and deployment. - Lead by example while providing mentorship to peers and business partners, fostering skill development and promoting collaboration across teams. - Lead innovation and process improvement efforts within Short-Range planning, including overseeing projects and training objectives. - Leverage expert knowledge to champion workforce tools, foster engagement and understanding among operational and internal partners by serving as a trusted resource. Qualifications - 4+ years of workforce planning and forecasting experience. - 4+ years of experience analyzing multi-source data to detect trends, outliers, and resolve issues. - 2+ years of experience with either back-office or call center transactions and production tracking applications. - Advanced level of proficiency with MS Excel & PPT (e.g. pivot tables, complex advanced formulas, macros, automation, and data integration). - Access to reliable transportation and valid US driver’s license. Requirements - Previous experience in capacity plan modeling. - Previous experience working with large datasets and understanding data relationships. - Previous experience with scheduling applications (IEX) and automated work routing applications (EWD) in a back-office environment. - Previous experience supporting non-traditional contact center. - Healthcare industry experience. - Demonstrated excellent verbal and written communication skills, including proven ability to effectively present data and trend analysis, work direction, concerns regarding performance, action plans, solutions, and opportunities and work with all levels of leadership. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). - Salary range from $72,800 to $130,000 annually based on full-time employment.

Role Description Responsible for leading the efforts in building and testing the contract modeling calculation that applies the contractual adjustment at the time of billing and produces the Expected Payment within the AR/Revenue Cycle system (Meditech, PCON, Epic, PIC). This position provides technical guidance on complex modeling scenarios, manages related projects/tasks, and ensures the integrity of calculations, which are relied upon to estimate Net AR, a focus of the financial audit, and to identify and pursue underpayments. Essential Functions - Contract Build and Modeling Leadership: Lead the input, building, testing, and maintenance of Payor contracts to accurately calculate net expected reimbursement and apply contractual adjustments at the time of billing for Epic, Meditech, PCON, and PIC. - Interpretation and Expertise: Serve as the subject matter expert in interpreting complex managed care contracts and government reimbursement methodologies to correctly create and validate contract modeling calculations. - Quality Assurance & Oversight: Oversee and ensure the thorough and timely testing of all new and existing entries into the Contract Modeling/Revenue Cycle system to confirm accurate netting down of AR at the time of billing. This includes leading implementations and other expected reimbursement projects and processes. - Strategic Collaboration: Proactively collaborate with Payor Strategy, RRC management, and other business partners regarding managed care contracts and government reimbursement changes that impact expected payment and system dictionaries/tables. - Mentorship and Guidance: Provide technical guidance and support to other team members on reimbursement calculation issues and complex contract modeling tasks. Qualifications - Bachelor's degree - 5-7 years of related experience in contract modeling and experience in Managed Care, Patient Financial Services or Finance (required). - Must have extensive experience and knowledge with healthcare reimbursement methodologies and concepts. - Experienced in managing technical projects and implementations. Licensure and Certifications - EPIC Certification (EPIC), Preferred

Role Description CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen both inside our hospitals and out in the community. Essential Functions - Vendor Relations & Communication - Serve as a primary financial point of contact for vendors and internal stakeholders. - Communicate effectively to streamline processes, resolve issues related to vendor invoicing, discrepancies, and payment issues. - Build and maintain strong vendor relationships to ensure smooth financial operations. - Support vendor relations by tracking invoice statuses, payment schedules, and responding to vendor inquiries in a professional and timely manner. - Invoice Validation & Contract Compliance - Create and leverage SQL queries to validate vendor payments against internal records, contracts, and service level agreements, identifying and resolving discrepancies. - Ensure invoices align with agreed rates, billing schedules, and contractual obligations. - Assist with the end-to-end processing and validation of vendor invoices, ensuring accuracy against contractual terms and services rendered. - Discrepancy Identification & Resolution - Identify discrepancies such as overbilling, duplicate charges, or incorrect rates and effectively resolve these in a timely manner. - Investigate and resolve invoice and payment discrepancies in a timely manner. - Maintain documentation of issues and resolutions for reporting purposes. - Identify opportunities for process improvements and increased efficiency within vendor operations and reporting. - Data Analysis & Technical Skills - Develop and maintain SQL queries to extract, analyze, and validate financial data to support business needs. - Advanced proficiency in Excel (e.g., pivot tables, VLOOKUPs, data manipulation, etc.) to analyze large datasets. - Automate recurring validation and reporting processes. - Exceptional analytical skills for effective problem-solving. - Demonstrated ability to communicate complex information effectively, both verbally and in writing, is essential for collaboration and stakeholder management. - Adept at leveraging Google Suite for effective communication, data analysis, content creation, and file management. - Month-End Close & Reporting - Contribute to month-end close activities, including preparing reports, reconciling vendor accounts, and ensuring all financial data related to vendor operations is correct and complete. - Proactively identify and communicate potential issues or discrepancies in vendor data. - Prepare and deliver accurate ad-hoc reports as requested by management or internal stakeholders, providing data-driven insights to support decision-making. - Collaborate effectively with cross-functional teams to ensure smooth vendor operations. Qualifications - Bachelors in business, Finance, Accounting, Computer Science or a related field. - 2-5+ years of experience in a financial, analytical, operations role, or vendor management. - Prior experience in healthcare or a related industry is a plus but not required. (Preferred)

Lead program management efforts, ensuring alignment with governance standards, facilitating Agile ceremonies, and translating complex data into decision-ready reports while proactively managing risks and quality strategies for large-scale...