Engineering Structures Impact Factor Jobs in Harrison Clare County Mi Remote
727 positions found — Page 44
Make an impact in the role of American Airlines Reservation Agent (Remote) to book flights, modify reservations, and assist travelers remotely.
Stay adaptable to meet changing priorities and business needs.
Ensure all safety and quality standards are met.
Perks include competitive pay, flexible scheduling, training opportunities, a supportive work environment, and career growth potential.
Remote working/work at home options are available for this role.
Richmond, VA
Work Shift
Multiple shifts available
Overview:
Sentara is hiring a Senior Benefit Configuration Analyst!
No Degree required!
This position is fully remote!
Candidates must have a current residence in one of the following states or be willing to relocate:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington State, West Virginia, Wisconsin, Wyoming
Overview
The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This role works closely with Product, Compliance, IT, Network and Claim's teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements.
The senior analyst serves as a business and technical expert in QNXT benefit build and plays a key role in supporting new plan implementations, annual updates, and ongoing configuration maintenance.
Key Responsibilities:
• Analyze benefit plan documentation (e.g., EOCs, SOBs, ) and translate into QNXT configuration requirements.
• Build and configure new and updated benefits in QNXT, including Product, Plan, Service Codes, Copay/Coinsurance, Accumulators, Limits, and Authorization rules.
• Use QNXT Configuration Management Tool (CMT) and QNXT Configuration Console Suite (QCS) to manage configuration packages and perform impact analysis.
• Execute back-end data validations using SQL to ensure configuration accuracy and resolve complex issues.
• Participate in end-to-end testing (UAT) of benefit builds and coordinate defect resolution with QA and claims teams.
• Support annual benefit configuration activities such as Medicare, Medicaid contract updates, or Exchange plan changes.
• Serve as a subject matter expert (SME) for benefit build logic, configuration architecture, and claims-related business rules.
• Document configuration logic and maintain version-controlled artifacts for audit and compliance purposes.
• Provide mentorship and support to junior configuration analysts and assist in training initiatives.
• Collaborate with cross-functional teams during product launches, regulatory changes, or system upgrades.
Education
- Minimum 6 years of experience, which includes 2 years of directly related experience in lieu of a bachelor's degree required.
- Bachelor's degree in healthcare administration, Information Systems, or related field with 4 years of progressive, relevant professional experience required
Certification/Licensure
- No specific certification or licensure requirements
Experience
- Required to have hands-on benefit configuration experience, preferably in a managed care or health plan environment.
- Required to have a strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration.
- Required to have strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans.
- Required to have excellent analytical, organizational, and problem-solving skills, strong written and verbal communication including technical documentation. Excellent interpersonal skills and team oriented.
Preferred Qualifications
- Proficiency in Microsoft SQL Server (T-SQL) for data validation and troubleshooting.
- Experience with CMT and QCS tools for version management, configuration migrations, and build monitoring.
- Familiarity with implementation methodologies for new products or market launches.
- Knowledge of healthcare claims lifecycle, pricing, and accumulators.
- Lean Six Sigma or process improvement background is a plus.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $ 69,867.20 - $ 116,438.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Remote working/work at home options are available for this role.
Please apply online at: job/7071
Join Arizona’s largest, most prominent not-for-profit hospice, serving the valley since 1977.
Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977. A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to excellence, enjoy teamwork and contribute daily to our mission and culture of caring. Team members experience a friendly, supportive atmosphere, leadership support, autonomy, flexibility and the privilege of doing meaningful, rewarding work.
Position Profile
The Senior Business Analyst (BA) works as a liaison between key business stakeholders and the Information Systems (IS) department. BAs are responsible for working with stakeholders to understand their business needs and working with IS partners to implement solutions that meet the business needs, goals and objectives.
Full Time 40 hrs/week
Day Shift
8a - 5p
*Must be local*
Responsibilities
- Works on multiple projects as an analyst, sometimes as a business subject matter expert (SME) in multiple functions.
- Works with enterprise-wide business customers and IT senior management to understand business issues and their environment in order to manage enterprise-wide reporting information support systems.
- Provides functional and technical expertise and direction for the development of complex enterprise-wide information system solutions.
- Establishes relationships with customers, IT colleagues, contractors, vendors and consultants to influence strategic IT initiatives while managing their expectations.
- Works with team members on problem definition and understanding stakeholder needs.
- Works with the development teams to ensure projects remain focused on the solution scope.
- Transforms business needs into clearly defined requirements that can feasibly be tested and implemented in a solution.
- Works with IS leadership to assist with the proper Business Analysis Planning and Monitoring phase activities including: 1) identification of stakeholders, 2) selection of business analysis techniques and the process that will be used to manage requirements and 3) identification of how to assess the progress of the work across all levels.
- Works with stakeholders and teams to ensure as-is and to-be business processes are documented.
- Responsible for the development, writing and communication of business requirements documentation and ensures appropriate stakeholder sign-off.
- Assists with the solution selection process and helps identify which solution best fits the business need. Activities can include: vendor product research, RFP development, vendor demonstrations and scenario scripting, vendor selection criteria/scoring methodology.
- Facilitates requirements reviews with all impacted stakeholders including business functions, IT security, IT infrastructure, application support, compliance, legal, and contracting.
- Works with IS leadership in the initial budget estimates and resource requirements for solution implementation.
- Oversees and consults on system and integration testing activities to ensure system is developed according to defined requirements.
- Oversees user acceptance testing and obtains sign-off from business customers.
- Stays abreast of significant change management initiatives, assesses organizational impacts and presents to appropriate leadership.
Minimum Qualifications
- Bachelor's degree from an accredited college or university in Information Systems MIS or equivalent experience.
- Minimum of 6 years of experience as a business/systems analyst on business solutions analysis projects.
Preferred Qualifications
- 5+ years' experience working in the healthcare/medical environment required.
- 5+ years' experience in SDLC; solid understanding in multiple methodologies (Waterfall, Agile, etc.)
Hospice of the Valley offers competitive salaries and excellent benefits that include medical, dental and vision plans, generous paid time off, a matching 401k, tuition assistance, an award winning wellness program and a host of employee recognition and rewards. Employees also receive comprehensive orientation, training and development opportunities.
Hospice of the Valley is an equal employment opportunity employer. EOE/M/F/D/V
Remote working/work at home options are available for this role.
OVERVIEW: Our client, a US Fortune 1,000 company and a major process services provider to Government Health and Human services agencies in the US, seeks an accomplished “Bilingual Customer Service Rep (Local-REMOTE)”
Position: Bilingual Customer Service Rep (Local-REMOTE)
Location: Rancho Cordova, CA (Full address: 3130 Kilgore Road, Rancho Cordova, CA 95670)
Duration: 3-4 months+ Contract with high possibility of extension!!!
Pay rate: $20.25/hr on W2
Note:
- Initial Training will be ONSITE, after training, the candidate is allowed to work remotely.
- Work from home will be allowed.
- Work schedule is 9-6pm PST.
- Bilingual fluency in English and one of these commonly spoken languages: Spanish, Japanese, Thai, Laotian, Mandarin, Cantonese, Cambodian, Korean, Russian, Vietnamese, Tagalog, and Armenian.
- Equipment will be provided by the client, however the candidate needs to have High speed wired internet connection to work REMOTELY.
JOB DESCRIPTION:
- One year of experience in the field or related area.
- High School diploma, GED, or equivalent certification.
- Computer literacy with the ability to quickly learn new software programs.
- Demonstrated ability to follow procedures and meet quality and production standards set for the position or equivalent.
- excellent organizational, interpersonal, written, and verbal communication skills; ability to perform comfortably in a fast-paced, deadline-oriented work environment.
- Ability to successfully execute many complex tasks simultaneously.
- Ability to work as a team member, as well as independently; and computer literacy with the ability to quickly learn new software programs.
- Preferred qualifications include experience in a health or human services field dealing with the public in a call center environment.
JOB RESPONSIBILITIES:
- Responds to inbound 800-line calls and completes outbound support calls, provides responses to questions, and in specific instances, refers callers to the appropriate supervisor, county or state agency representatives for service and/or when problems or concerns occur.
- Assists beneficiaries by completing enrollment transaction request transactions, as applicable.
- Maintains updated knowledge of the Client program, including its policies and procedures as referenced in the employee manual and other policies adopted by corporate, the project and/or client and as referenced in desk procedures for the position.
- Maintains knowledge of contract compliance provisions of the project and meets those provisions that are applicable to this job position.
- Follows policies and procedures applicable to the position.
Recruiter Contact Info
Gurjant Singh
Phone: 925-297-5994
Email:
'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally: as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with a service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Applicants with criminal histories are considered in a manner that is consistent with local, state and federal laws.
Remote working/work at home options are available for this role.
OVERVIEW:
Our client, a US Fortune 1,000 company and a major process services provider to Government Health and Human services agencies in the US,seeks an accomplished Bilingual Call Center Representative (Healthcare | Remote After Training).”
** LOCATION: Remote 11050 Olson Drive Suite 100, Rancho Cordova, CA, 95670| (Candidate must reside within 25 miles of Rancho Cordova, CA.)
** DURATION: 6 Months +
** WORK SCHEDULE: 09:00 am – 06:00 pm PST
** TRAINING: 4-5 Weeks
** START DATE: Apr 06, 2026
Pay Rate: $20.25/hr. W2
Note:
- Initial Training will be ONSITE, after training, they will work remotely until TBD.
- Work schedule is 9-6pm PST.
- Bilingual fluency in English and one of these commonly spoken languages: Spanish, Japanese, Thai, Laotian, Mandarin, Cantonese, Cambodian, Korean, Russian, Vietnamese and Armenian.
ESSENTIAL JOB DUTIES:
- A Customer Service Specialist shall assist and educate Medi-Cal beneficiaries by selecting a managed health care plan.
- Maintaining a positive, empathetic, and professional attitude toward customers always.
- Responding promptly to customer inquiries.
- Communicating with customers through various channels.
- Acknowledging and resolving customer complaints.
- Communicating and coordinating with colleagues as necessary.
- Providing feedback on the efficiency of the customer service process.
- Ensure customer satisfaction and provide professional customer support.
QUALIFICATIONS / REQUIREMENTS:
- Education: At least HS diploma / GED
- One year of experience in the field or related area.
- High School diploma, GED, or equivalent certification.
- Computer literacy with the ability to quickly learn new software programs.
- Demonstrated ability to follow procedures and meet quality and production standards set for the position or equivalent.
- Excellent organizational, interpersonal, written, and verbal communication skills; ability to perform comfortably in a fast-paced, deadline-oriented work environment.
- Ability to successfully execute many complex tasks simultaneously.
- Ability to work as a team member, as well as independently; and computer literacy with the ability to quickly learn new software programs.
- Preferred qualifications include experience in a health or human services field dealing with the public in a call center environment.
NOTE: Candidates that are offered a position are required to pass pre-employment background screenings.
I'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.
Recruiter Name: Lalit Malgotra
Title: Professional Recruiter
Phone: 925-297-6323
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally; as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.
Remote working/work at home options are available for this role.
Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished HR Generalist.
____________________________________________
NOTE- THIS IS LARGELY REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099
*** Candidate must be authorized to work in USA without requiring sponsorship ***
Position: HR Generalist (Job id – 3230438)
Location: San Francisco CA (95% Remote/5% onsite a few times a year)
Duration: 6 Months + Strong Possibility of Extension
_____________________________________________________
HR Generalist experience (i.e. experience working on the lifecycle of an employee, e.g., onboarding, managing payroll, employment issues, offboarding, etc.), Academic/University experience.
Job Function Summary:
- Involves recommending, developing, implementing, administering, coordinating, and / or evaluating Academic Personnel policies, labor contracts, statutes, programs, and procedures covering one or more of the following: academic recruitment, appointment, and advancement; compensation and salary administration; welfare programs; visa procurement; benefits; payroll; training and development; academic personnel misconduct; equity; labor and employee relations issues governing represented academic personnel.
- Experienced professional who knows how to apply theory and put it into practice with in-depth understanding of the professional field; independently performs the full range of responsibilities within the function; possesses broad job knowledge; analyzes problems / issues of diverse scope and determines solutions.
- As a seasoned experienced professional with a comprehensive understanding of university campus, and unit academic practices, policies, and procedures, resolves moderate to complex academic personnel-related issues affecting a broad range of academic titles in imaginative and practical ways.
- The individual will be the primary academic contact for a set of client departments.
___________________________________________________
Bhupesh Khurana
Lead Technical Recruiter
Email –
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws
Remote working/work at home options are available for this role.
Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished EPIC Cadence Applications Analyst.
_______________________________________________
NOTE- THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099
*** Candidate must be authorized to work in USA without requiring sponsorship ***
Position: EPIC Cadence Applications Analyst (Job Id - # 3236547)
Location: Los Angeles CA 90024 (100% REMOTE)
Duration: 12 months + Strong Possibility of Extension
____________________________________________________
- Under the direction of an Application Manager, the Application Analyst performs troubleshooting, maintenance, and optimization of existing software applications.
- They design, build, test, and support new applications and modules within their portfolio and/or service line. The Analyst must achieve in-depth knowledge of the software application and operational workflows, as well as understand the policies, procedures and constraints of the clinical or business operation supported by the application.
- The Analyst works with business owners, vendors, and other ISS team members to evaluate and recommend solutions to complex problems and requests.
- Analyst will be focused on Decision Tree build for onboarding specialties to our centralized Patient Call Center, build related to implementing new requests, optimization of current workflows, Nova upgrade notes, input as needed for integration projects across the health system, and assisting with high-priority break-fix tickets.
Required Experience:
- Cadence Certification with a minimum of 5 years’ experience required.
- Cadence Decision Tree experience
- Break-fix problem investigation and resolution
- Nova (Epic Upgrade) notes
- New DEP Cadence Build
- Referrals and Referral Order build is highly preferred
________________________________________________________
Bhupesh Khurana
Lead Technical Recruiter
Email –
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.
Remote working/work at home options are available for this role.
Manhattan Active WMS Tech Analyst Direct Hire Remote
Tier4 Group is seeking a driven IT MAWM Technology Analyst to support and evolve enterprise‑wide IT initiatives centered on Manhattan Active Warehouse Management (MAWM). In this role, you’ll be a key contributor to system configuration, integrations, extensions, and advanced support—helping ensure our technology ecosystem scales with current and future business needs.
You’ll collaborate closely with IT, business partners, vendors, and QA teams while owning complex configurations, integrations, and L2/L3 troubleshooting in a fast‑paced warehouse and supply chain environment.
What You’ll Do
- Configure and support MAWM solutions using Manhattan Configuration Tools, Config Director, and APIs
- Design, develop, and maintain RESTful API integrations (JSON/XML) between MAWM and third‑party systems such as ERP and TMS
- Create, deploy, monitor, and manage MAWM extension packs using ProActive
- Provide L2/L3 production support, including deep technical troubleshooting, root‑cause analysis, and issue resolution
- Partner with IT, business stakeholders, and vendors to understand, document, and enhance business and technical requirements
- Participate in the design, build, testing, validation, implementation, and ongoing support of application and infrastructure solutions
- Collaborate with IT, QA, and business teams on test planning and execution
- Produce and maintain technical documentation, including:
- Configuration and extension specifications
- System architecture diagrams
- Integration mappings and API documentation
- Support enterprise initiatives by ensuring MAWM aligns with evolving operational and strategic goals
What You Bring
- Bachelor’s degree in Computer Science, Information Technology, Supply Chain, or a related field
- 2+ years of hands‑on experience with Manhattan Active WMS (MAWM)
- Proven experience deploying and managing MAWM extensions using ProActive
- Strong expertise in:
- Manhattan Configuration Tools & Config Director
- API development and integration (REST, JSON/XML)
- Postman scripting and testing
- Experience integrating MAWM via MIF with external systems (ERP, TMS)
- Solid understanding of warehouse operations and supply chain processes
- Excellent analytical, problem‑solving, and troubleshooting skills
- Strong communication skills with the ability to work calmly and effectively under pressure
Nice to Have
- Experience supporting distribution centers or warehouse environments, especially in:
- Food & Beverage
- Pharmaceuticals or other regulated industries
Why This Role
- 100% remote opportunity (within select states)
- Direct impact on enterprise‑level warehouse technology
- Collaborative, cross‑functional environment
- Opportunity to work deeply with a modern Manhattan Active platform
Remote working/work at home options are available for this role.
This role is responsible for translating federal and state Medicaid requirements, health plan business needs, and operational workflows into detailed functional requirements that support system configuration, data integration, reporting, and compliance.
The Analyst will partner closely with business stakeholders, IT teams, vendors, and external partners to ensure Medicaid systems and solutions meet contractual, regulatory, and operational expectations.
Position Responsibilities: · Medicaid Business & Regulatory Analysis o Analyze federal and state Medicaid regulations, contract requirements, and policy guidance, and translate them into clear business and functional requirements o Support Medicaid program areas such as eligibility, enrollment, claims, encounters, care management, provider management, quality, and compliance o Interpret CMS, state agency, and contractual changes and assess operational and system impacts · Technical Requirements & Solution Design o Develop detailed functional and technical requirements, including use cases, process flows, data mappings, interface specifications, and system configuration needs o Collaborate with IT, data, and vendor teams to design and validate technical solutions that align with Medicaid business needs o Support system enhancements, defect resolution, and new implementations across core Medicaid platforms (e.g., claims, encounters, care management, data warehouse) · Data & Integration Support o Analyze data flows between Medicaid systems, vendors, and external entities (state agencies, CMS, providers) o Support reporting, analytics, and regulatory submissions (e.g., encounter data, quality measures, financial reporting) o Assist with data validation, reconciliation, and root-cause analysis for Medicaid data issues · Stakeholder & Cross-Functional Collaboration o Serve as a liaison between Medicaid business teams, IT, finance, compliance, and external vendors o Facilitate requirements workshops, design sessions, and stakeholder reviews o Clearly communicate complex technical concepts to nontechnical stakeholders and business priorities to technical teams · Testing & Implementation Support o Support system testing activities, including test planning, test case development, and user acceptance testing (UAT) o Validate that solutions meet Medicaid business and regulatory requirements prior to deployment o Support golive activities and postimplementation issue resolution · Documentation & Governance o Maintain clear, auditready documentation of requirements, decisions, and approvals o Ensure alignment with Medicaid governance, SDLC, and change management processes o Support audits, regulatory reviews, and compliance inquiries, as needed Position Qualifications: · 5+ years of experience as a Business Analyst, with direct Medicaid or healthcare payer experience · Strong understanding of Medicaid programs, managed care operations, and state/federal compliance requirements · Experience translating business requirements into technical specifications · Experience working with IT teams, system vendors, and data/reporting teams · Strong analytical, documentation, and problem-solving skills · Experience supporting Medicaid managed care organizations (MCOs) or state Medicaid programs preferred · Familiarity with Medicaid healthcare payer systems such as claims platforms, encounter processing, care management systems, or eligibility/enrollment platforms preferred · Experience with data analysis, SQL, or data warehouse concepts preferred · Knowledge of CMS reporting, state encounter submissions, or quality programs preferred · Experience with Agile, SAFe, or traditional SDLC methodologies preferred · A minimum of a Bachelor’s Degree in Business, Information Systems, Health Administration, Public Health, or other related field .
Remote working/work at home options are available for this role.
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
This posting is for multiple P&C Actuarial Analyst positions on the pricing, indications, and forecasting teams. These roles require experienced analysts to independently apply actuarial methods for accurate pricing and process improvement, mentor colleagues, provide strategic insights, and manage business risks in compliance with internal risk management policies.
We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL. Relocation assistance is not available for this position.
Experienced analyst responsible for independently applying actuarial methodologies to complete structured projects and serves as a technical subject matter expert on assigned tasks.
What you'll do:
Independently applies actuarial methodologies to complete structured projects (e.g.)
Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale).
Identifies and improves existing processes utilizing actuarial, mathematical, or statistical techniques.
Proactively resolves technical issues and identifies appropriate issues for escalation.
Assists others with troubleshooting issues.
Creates instructions and training materials for actuarial tools and processes.
Mentors new team members.
Apply business acumen to provide actionable insights that help solve business problems.
Effectively communicates insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.
Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
Bachelor’s degree OR 4 years of related actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.
2 years of actuarial or analytical business experience.
3 Casualty Actuarial Society (CAS) exams.
Experience with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.
Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.
What sets you apart:
Familiarity with Excel and at least one programming language or modeling software package (Python, SQL, R, SAS, etc.).
Demonstrated experience with basic actuarial pricing methodologies.
Demonstrated experience aggregating and analyzing data to solve problems.
Ability to effectively communicate insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.
P&C Personal Lines pricing experience.
Familiarity and experience with industry pricing software such as Earnix.
US military experience through military service or a military spouse/domestic partner.
Compensation range: The salary range for this position is: $77,120 - $138,810.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on .
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Remote working/work at home options are available for this role.
