What Jobs are available for Senior Management in Omaha?

Description & Requirements

Maximus is currently seeking a Senior Manager, Business Developmen t. This is an exciting opportunity in our Federal Civilian Division supporting our Administration and Enforcement customers. As Senior Manager, Business Development , you will help ensure today is safe and tomorrow is smarter by assisting our team in identifying, qualifying, and pursuing new business opportunities within the Administration and Enforcement Business Area and related markets across, but not limited to GSA, US Courts, Department of State, Senate Senate/House/Capitol. You will be able to demonstrate an understanding of these sectors, and their partner agencies, including organizational structure, mission priorities, and general procurement approaches. The ideal candidate will possess a strong knowledge of the information technology drivers within these agencies and the federal government marketspace. In this role, you will leverage your knowledge to develop customer and partner engagement plans and provide Maximus leadership with marketplace aligned recommendations in road-mapping and executing go-to-market tactical and strategic plans.

This is a remote position.

Essential Duties and Responsibilities:
- Coordinate pricing, solution development, staffing, key staff sourcing, privacy and security.
- Contribute to the quantitative win rates for core, new and adjacent markets, ensuring alignment with the priorities and goals of the group and segment.
- Manage multiple projects and tasks simultaneously, both long and short term.

Job-Specific Essential Duties and Responsibilities:

- Provide business development support within the Administration and Enforcement Business Area throughout the new business capture lifecycle, including but not limited to opportunity identification, qualification, and win strategy development.

- Work as a member of a multi-disciplinary team to formulate, communicate, and implement an integrated business development and capture strategy that provides customers a clear and defensible justification for selecting Maximus for an award.

- Develop a pipeline of new business opportunities that support Administration and Enforcement's business area and Division growth goals within Federal Civilian.

- Engage with customer agencies, assist in the development and implementation of campaign plans and strategies, maintain a firm comprehension of the customer's requirements, understand the strengths/weaknesses of our competitors, and develop/implement winning strategies that highlight strengths and mitigate weaknesses.

- Perform business development services including networking and research to increase business and maintain a current knowledge base of opportunities.

- Meet with current and potential clients to understand customer mission needs relative to Maximus capabilities and solutions.

- Participate in trade shows, associations, and other industry or government-related groups as required.

- Execute opportunity-specific call plans collaborating with technical staff to test and vet potential solutions with customers.

- Support the development of white papers, proposals, solutions, plans of action, business plans, and marketing materials.

- Maintain open and collaborative communications between Capture Teams, Sector Operations Lead, Growth Organization, and CTO throughout the pursuit of new business opportunities and organic expansion into the marketplace.

- Lead capture for small and subcontracted deals.

- Participate in strategy, technical, and pricing reviews.

- Act as the voice of the customer providing customer insight and market intelligence throughout the opportunity life cycle.

Minimum Requirements

- Bachelor's degree in related field.
- 7-10 years of relevant professional experience required.

- Equivalent combination of education and experience considered in lieu of education.

Job-Specific Minimum Requirements:

- Must have the ability to obtain and maintain a government security clearance.

- Must have broad working knowledge of Federal Government IT needs (e.g., enterprise IT, communications, cloud, cyber, ITIL-based IT service management, agile delivery practices, applications modernization, artificial intelligence, and emerging technologies)

- Must have Federal government contracting policies and procedures experience

- Direct business development activities experience is a must.

- Demonstrated experience gaining sustained customer interactions both with known customer and new customers.

- Ability to travel 5% in the DC/MD/VA area.

Preferred Skills and Qualifications:

- Active listener with excellent written and oral communication skills.

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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,-please contact People Operations at .

Minimum Salary

$

150,000.00

Maximum Salary

$

175,000.00

**Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered
* Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
*** Must have License to practice in the state of Georgia**
The **Medical Management Nurse** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary. Works with healthcare providers to understand and assess a member's clinical picture. Utilizes nursing judgment to determine whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not satisfy relevant clinical criteria. Acts as a resource for Clinicians. May work on special projects and helps to craft, implement, and improve organizational policies.
**How you'll make a difference:**
+ Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity.
+ Works with healthcare providers to promote quality member outcomes, optimize member benefits, and promote effective use of resources.
+ Determines and assesses abnormalities by understanding complex clinical concepts/terms and assessing members' aggregate symptoms and information.
+ Assesses member clinical information and recognizes when a member may not be receiving appropriate type, level, or quality of care, e.g., if services are not in line with diagnosis.
+ Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate.
+ May make recommendations on alternate types, places, or levels of appropriate care by leveraging critical thinking skills and nursing judgment and experience.
+ Collaborates with case management nurses on discharge planning, ensuring patient has appropriate equipment, environment, and education needed to be safely discharged.
+ Collaborates with and provides nursing consultation to Medical Director and/or Provider on select cases, such as cases the nurse deems particularly complex, concerning, or unclear.
+ Serves as a resource to lower-level nurses.
+ May participate in intradepartmental teams, cross-functional teams, projects, initiatives and process improvement activities.
+ Educates members about plan benefits and physicians and may assist with case management.
+ Collaborates with leadership in enhancing training and orientation materials.
+ May complete quality audits and assist management with developing associated corrective action plans.
+ May assist leadership and other stakeholders on process improvement initiatives.
+ May help to train lower-level clinician staff.
**Minimum Requirements:**
+ Requires a minimum of associate's degree in nursing.
+ Requires a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which would provide an equivalent background.
+ Current active, valid and unrestricted RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required.
+ Multi-state licensure is required if this individual is providing services in multiple states.
**Preferred skills, qualifications and experiences:**
+ Utilization Management highly recommended
+ Experience working with InterQual preferred
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

**Overview**
Start your career with Enterprise Mobility! We're **hiring immediately** for our respected Management Training Program.
Whether you see yourself in sales, business development, customer service, retail management, or operations, as a manager in training, you can count on a career path with a clear beginning and an open end that's full of opportunities. With training, development, mentoring, and a culture of promotion from within, you'll always be progressing in your career.
This position is located at **5733 Veterans Parkway, Columbus, GA and will include other locations in the Metro Columbus, GA market and the surrounding location in Lagrange, GA**
We offer a robust **Benefits Package** including, but not limited to:
+ Competitive Compensation - **This position offers targeted 1st year annual compensation of $50,000 with an average 47> hour work week.**
+ **Paid Time Off** , starting with 12 off per year
+ **Health, Dental, Vision insurance** ; Life Insurance; Prescription coverage
+ **Employee discounts** on car rentals, car purchases and much more!
+ 401(k) retirement plan with company match and profit sharing
We're a family-owned, world-class portfolio of brands and leading provider of mobility solutions worldwide. Founded more than 65 years ago with a commitment to the communities that we serve, we operate a global network with 90,000+ dedicated team members across nearly 100 countries, and more than 2.3 million vehicles taking our customers where they want to go. We owe our success to each and every one of our people. That's why we empower everyone on our team with opportunities for growth.
**Responsibilities**
We are now hiring for immediate openings in our Management Training program. As a MT, you'll start learning our business from day one while based out of one of our neighborhood branches. You will be entrusted to serve as both the face of Enterprise to customers and partners and the behind-the-scenes operational expert. In our structured program, you will master the knowledge and skills you need to eventually run your own branch, cultivate new business and develop your team.
In our hands-on learning environment, you will receive the guidance, mentoring, and support you need to be successful. You will also get out into the community and establish the relationships essential to building your own business.
We'll teach you how to excel at customer service, sales and marketing, finance, and operations. And you'll learn what it means to always put our customers first. Ours is a culture of friendly competition, which is critical to growing our business - and your success.
_Equal Opportunity Employer/Disability/Veterans_
**Qualifications**
+ Must have a Bachelors Degree, or be within 1 semester of graduating with a Bachelors.
+ Must be at least 18 years of age.
+ Must have a current and valid driver's license with no more than 2 moving violations and/or at fault accidents on driving record within the past 3 years
+ Candidates with more than 1 excessive speeding violation (defined as 26 or more miles per hour over the posted speed limit) on their driving record within the last 3 years will be disqualified from consideration.
+ No drug or alcohol related convictions on driving record within the past 5 years (i.e. DUI, DWI).
+ Must be authorized to work in the United States and not require work authorization sponsorship by our company for this position now or in the future.
Enterprise Mobility/Enterprise Rent-A-Car/Alamo Rent A Car and National Car Rental seeks and values people of all backgrounds because every employee, customer and business partner is important. Enterprise Mobility is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, gender identity or protected veteran status and will not be discriminated against on the basis of disability. If you have any difficulty using our online system and you need an accommodation due to a disability, you may use this alternative email address ( ) to contact us about your interest in employment.

**Utilization Management Representative I**
**Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._
The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review.
**How you will make an impact:**
+ Managing incoming calls or incoming post services claims work.
+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
+ Refers cases requiring clinical review to a Nurse reviewer.
+ Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
+ Responds to telephone and written inquiries from clients, providers and in-house departments.
+ Conducts clinical screening process.
+ Authorizes initial set of sessions to provider.
+ Checks benefits for facility based treatment.
+ Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
**Minimum Requirements**
+ HS diploma or GED
+ Minimum of 1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background.
**Preferred Skills, Capabilities and Experiences**
+ Medical terminology training and experience in medical or insurance field preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $16.33/hr to $24.50/hr.
Locations: New York
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Summary
Job title: Management Trainee - Non Exempt
Job ID: null
Department: Columbus - CED
Location: null-null
Description
Summary:
CED's Management Training program is tailored to sales-minded candidates seeking management positions in an evolving industry. CED is a privately held company with more than 750 locations. Management Trainees are taught every aspect of CED's business in order to run their own multi-million-dollar location upon completion of the training.
On-the-job training lasts for 2-3 years and includes rotations in warehouse, counter sales, accounts payable, accounts receivable, financial statements, purchasing, account management, project management, inventory management and business development. Throughout the program, trainees attend multiple sessions focused on electrical products, sales, and management.
While the position provides real on-the-job training, there is also online training related to electrical systems, sales, and management. No prior industry experience is necessary: we give you the tools needed to be successful with CED. The ideal candidate possesses outstanding communication skills, is geographically flexible, and thrives in a fast-paced, multi-faceted industry.
Reports to: Training Manager
Minimum Qualifications:
+ Must be at least 18 years of age
+ Bachelor's Degree - will consider related experience in lieu of degree
+ Current, valid driver's license with acceptable driving record
+ Authorization to work in the United States (without requiring work authorization sponsorship by CED now or in the future)
+ Ability and willingness to relocate during and upon completion of the program
Preferred Qualifications:
+ Sales or customer service experience
ADDITIONAL COMPETENCIES:
+ Leadership Skills
+ Self-Motivated
+ Competitive
+ Team Oriented
+ Entrepreneurial Spirit
+ Exceptional Interpersonal & Communication Skills
+ Effective Problem-Solving Skills
Working Conditions:
+ Conditions vary based on the trainee's current segment of the training and will include warehouse, office, and external environments.
+ During some segments, activities will include lifting, sorting, standing, and possible extreme heat/cold conditions.
+ Office segments may include sitting for extended periods.
+ Various segments will include some travel - both by car and by air.
Supervisory Responsibilities: No
Essential Job Functions:
+ Learning all aspects of the CED business
+ Attending classes in various locations
+ Communicating - both written and spoken - in English.
CED is an Equal Opportunity Employer - Disability | Veteran
Compensation Range:
The compensation range for this position is $5000 to $65000 annually.
Other Compensation:
The following additional compensation may be applicable for this position:
+ Bonus
+ Profit Sharing
Benefits:
Benefits available for this position are:
+ Insurance - Medical, Dental, Vision Care for full-time positions
+ Disability Insurance
+ Life Insurance
+ 401(k)
+ Paid Sick Leave
+ Paid Holidays
+ Paid Vacation
+ Health Savings Account (HSA) and matching
+ Dependent Care Flexible Spending Account (FSA)
+ Teledoc
+ Paid Pregnancy & New Parent Leave

**JOB DESCRIPTION**
**Job Summary**
Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics regarding patient outcomes, medications safety and medication use policies).
**KNOWLEDGE/SKILLS/ABILITIES**
The Pharmacist, UM will be responsible for reviewing coverage determinations and appeals in a timely, compliant, and accurate manner. The Pharmacist, UM will also be responsible for serving as a formulary and drug information resource, assisting technicians and other departments with questions regarding drug coverage.
+ Acts as a liaison between Molina and its customers (members, providers and pharmacies) with respect to the pharmacy benefit.
+ Serves as the formulary expert.
+ Ensures Molina is compliant with the coverage determination and appeals process.
+ Contributes to projects aimed at improving Star ratings, HEDIS, CAHPS, and other quality metrics.
+ Assists call center pharmacy technicians with clinical questions and phone calls from prescribers, pharmacies and/or members.
+ Develops, implements and maintains pharmacy cost control and quality initiatives under the direction of leadership.
+ Monitors drug utilization and assists leadership team in understanding quality and cost control issues related to pharmacy.
+ Works in tandem with Molina Medical Directors to ensure accurate coverage determination decisions.
+ Works with leadership on developing annual training sessions for applicable staff regarding the pharmacy benefit changes for the upcoming year.
+ Works with the Case Management department as part of a member-centered interdisciplinary care team.
+ Works with the PBM to manage formulary changes and update marketing on any changes needed on the web or print versions of the formulary.
+ Performs outreach to patients and physicians as part of quality and/or cost control initiatives.
+ Provides leadership for the pharmacy call center team as delegated by the Manager.
+ Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization, and adherence.
**JOB QUALIFICATIONS**
**Required Education**
+ Doctor of Pharmacy or bachelor's degree in Pharmacy with equivalent experience.
+ Continuing education required to maintain an active pharmacist license.
**Required Experience**
1 - 2 years post-graduate experience.
**Required License, Certification, Association**
Active and unrestricted State Pharmacy License for workplace and plan location.
**Preferred Experience**
+ Medicare Part D or Medicaid experience.
+ Managed care experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,412 - $188,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Account Service Manager Sr - Pharmacy Benefit Management**
**Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. **Alternate locations may be considered if candidates reside within a commuting distance from an office.**
_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._
**CarelonRx Pharmacy** is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors. Our Pharmacy model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.
The **Account Service Manager, Sr,** is responsible for providing highly advanced account management representation and strategic planning for major accounts and serves as a lead for assigned accounts and units.
**How you will make an impact:**
+ Provides strategic planning and account management for large accounts.
+ Directs and manages the administration of contractual requirements and obligations.
+ Manages the new and renewal implementation process for accounts.
+ Interfaces with operations to ensure smooth delivery of services.
+ Maintains ongoing account relationships at multiple levels throughout the customer's organization. Make recommendations for improvements to meet customers¿ expectations.
+ Develop implementation processes and manage reporting processes to ensure client retention and high levels of account satisfaction.
+ Provides both on-site and off-site account management, which may include interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit and enrollment issues.
+ Presents monthly, ad hoc, mid-year, and annual utilization and benefit reporting to the broker and client.
+ Coordinates open enrollment meetings, renewal process and training sessions.
+ Participates in efforts to support standardization across accounts and works in multi-disciplinary teams to design and implement product and operational enhancements.
+ Provides guidance or expertise to less experienced account service managers.
+ Make routine account visits to attend client meetings as necessary.
**Minimum Requirements:**
+ Requires a BA/BS and a minimum of 5 years of experience managing business operations and/or customer relationship; or any combination of education and experience which would provide an equivalent background.
+ A sales license may be required.
+ Travels to worksite and other locations as necessary.
**Preferred Experience, Skills, and Capabilities**
+ Experience working in the managed care/healthcare insurance industry most notably in pharmacy benefits; PBM experience strongly preferred.
+ Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability are highly preferred.
+ Proven ability in collaborating with cross-functional teams and coordinating efforts towards common goals are strongly preferred.
+ Experience interacting confidently with senior management and executive level stakeholders, as a subject matter expert and comfortable with influencing decision-making preferred.
+ Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties strongly preferred.
+ Proficient with Microsoft Office products, MS Teams, CRM tools and Salesforce highly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

**Job Description**
**Job Summary**
The Lead Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize performance. This position requires leadership skills, technical expertise, and the ability to mentor and support other analysts. The Lead Analyst often acts as a liaison between the business units and IT, ensuring that technical solutions align with business goals.
**Knowledge/Skills/Abilities**
- Lead others by providing training, support, and ongoing feedback for skill development and to ensure accurate and timely data analysis and delivery.
- Establish departmental best practices; document and communicate them with leaders and analysts.
- Lead discussions with stakeholders to understand business objectives, gather requirements, and translate them into comprehensive business and functional specifications.
- Analyze complex healthcare data sets to identify trends and patterns. Communicate insights and recommendations that drive informed decision-making and process improvements.
- Identify inefficiencies in existing departmental processes; develop new solutions and drive key stakeholders to adopt and execute those solutions.
- Lead and support cross-functional projects from initiation to completion, ensuring adherence to timelines and quality standards.
- Establish and maintain strong relationships with key stakeholders ensuring alignment and collaboration across departments.
- Develop and present key metrics, performance indicators, and actionable insights to stakeholders at all levels of the organization.
**Job Qualifications**
**REQUIRED EDUCATION:**
Bachelor's degree in business administration, healthcare management, or a related field; or equivalent combination of education and experience
**REQUIRED EXPERIENCE:**
- 7+ years of business analysis experience
- Advanced proficiency in data analysis tools and techniques, such as Excel or SQL
- Experience training and supporting other individual contributors
- Excellent communication, presentation, and interpersonal skills, with the ability to interact effectively with stakeholders at all levels
**PREFERRED EDUCATION:**
Bachelor's degree in business administration, healthcare management, or a related field
**PREFERRED EXPERIENCE:**
Healthcare industry experience strongly preferred
Python and/or API development
AI programming
Provider Data
QNXT or TriZetto product experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Job Description**
**Job Summary**
The Lead Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize performance. This position requires leadership skills, technical expertise, and the ability to mentor and support other analysts. The Lead Analyst often acts as a liaison between the business units and IT, ensuring that technical solutions align with business goals.
**Knowledge/Skills/Abilities**
- Lead others by providing training, support, and ongoing feedback for skill development and to ensure accurate and timely data analysis and delivery.
- Establish departmental best practices; document and communicate them with leaders and analysts.
- Lead discussions with stakeholders to understand business objectives, gather requirements, and translate them into comprehensive business and functional specifications.
- Analyze complex healthcare data sets to identify trends and patterns. Communicate insights and recommendations that drive informed decision-making and process improvements.
- Identify inefficiencies in existing departmental processes; develop new solutions and drive key stakeholders to adopt and execute those solutions.
- Lead and support cross-functional projects from initiation to completion, ensuring adherence to timelines and quality standards.
- Establish and maintain strong relationships with key stakeholders ensuring alignment and collaboration across departments.
- Develop and present key metrics, performance indicators, and actionable insights to stakeholders at all levels of the organization.
**Job Qualifications**
**REQUIRED EDUCATION:**
Bachelor's degree in business administration, healthcare management, or a related field; or equivalent combination of education and experience
**REQUIRED EXPERIENCE:**
- 7+ years of business analysis experience
- Advanced proficiency in data analysis tools and techniques, such as Excel or SQL
- Experience training and supporting other individual contributors
- Excellent communication, presentation, and interpersonal skills, with the ability to interact effectively with stakeholders at all levels
**PREFERRED EDUCATION:**
Bachelor's degree in business administration, healthcare management, or a related field
**PREFERRED EXPERIENCE:**
Healthcare industry experience strongly preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.