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Financial Analyst IV (Decision Support) CalOptima CalOptima Health is seeking a highly motivated Financial Analyst IV (Decision Support) to join our team. The Financial Analyst IV (Decision Support) will be responsible for providing analysis, guidance and expert knowledge on health care finance for various departments within CalOptima Health. Working independently, the incumbent will lead large-scale analytical initiatives and develop report suites and financial models used to forecast medical cost trends. The incumbent will provide support for provider contract negotiations, assess actuarial rate development studies, participate in annual budgeting functions, provide ad-hoc analytic support as needed and act as a resource to staff and other consultants within the department. The incumbent will evaluate various complex issues, perform detailed analysis and communicate well reasoned solutions to all levels of management within CalOptima Health. The incumbent will work with large amounts of claims, enrollment and provider data. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Researches, assesses and develops advanced tools, models, reports and approaches to increase the accuracy and timeliness of data-driven work projects.</li>
<li>Develops medical expense, revenue and enrollment projections to support the budget process.</li>
<li>Develops financial models and reports to support provider contract negotiations.</li>
<li>Develops return on investment and business case analyses for program initiatives under consideration by management.</li>
<li>Provides clinical and utilization analysis to assist Medical Management with improving outcomes and quality of care for CalOptima Health members.</li>
<li>Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse.</li>
<li>Provides support and analyses around risk adjustment.</li>
<li>Mentors, trains and serves as a lead for analytical staff.</li>
<li>Designs, develops, implements and maintains report suites and dashboards for all levels of CalOptima Health management.</li>
<li>Serves as a subject matter expert around one or more of the following areas: Medi-Cal provider rate methodology, Medicare provider rate methodology, Department of Health Care Services (DHCS) revenue, Centers for Medicare &amp; Medicaid Services-Medicare Advantage (CMS-MA) revenue, population health member cohort identification, industry standard approaches to health care cost service categorization and metrics. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, finance, economics, actuarial sciences or related field PLUS 6 years of experience working with health care finance reporting and analytics in a medical group, hospital or health plan setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>3 years of experience in Provider Contract Modeling required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience working with commercial, Medi-Cal and Medicare large payer data sets and related pricing information that is publicly available. </li>
<li>Experience developing annual organizational budgets, forecasts and financial modeling. </li>
<li>Experience using Tableau and/or Microsoft SQL Server.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6299502&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 26, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6299502" target="_blank">https://jobs.caloptima.org/jobs/financial-analyst-iv-decision-support-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-f3569a1ca984034796c2553e8b161065

Financial Analyst IV (Decision Support)

Program/Policy Analyst Sr (Medi-Cal Compliance) CalOptima CalOptima Health is seeking a highly motivated Program/Policy Analyst Sr (Medi-Cal Compliance) to join our team. The Program/Policy Analyst Sr (Medi-Cal Compliance) will coordinate and maintain CalOptima Health's relationship with regulatory agencies and ensure CalOptima Health and its First Tier, Downstream and Related Entities (FDRs) comply with all appropriate standards, regulations, contractual provisions, federal waivers and laws. Specifically, the incumbent works to enhance and strengthen CalOptima Health's policy infrastructure, platform and strategies at the state level, including contract compliance, statutory and regulatory obligations with the Department of Health Care Services (DHCS). The incumbent requires the ability to complete a variety of independent detailed analyses, including the development, review and response to corrective action plans. The incumbent will be responsible implementing Corrective Action Plans (CAPs), supporting regulatory audits, validating regulatory guidance and developing regulatory communications for CalOptima Health stakeholders. The incumbent will interact with CalOptima Health's executives and department management, FDR's management, legal counsel and state and federal regulatory agencies. The incumbent will also support other key CalOptima Health staff on related projects. Position Information: 
<ul>
<li>Department: OOC - MediCal Regulatory Affairs &amp; Compliance </li>
<li>Salary Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>85% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Works with all of CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message.</li>
<li>Assists in the management of CalOptima Health's daily relationship with the DHCS for CalOptima Health's Medi-Cal program.</li>
<li>Maintains open lines of communication to ensure the ongoing trust and confidence of regulators in the program and management.</li>
<li>Researches, analyzes and makes recommendations regarding the policy implications of major initiatives for CalOptima Health's Medi-Cal program, e.g., integration of new benefits and populations.</li>
<li>Works with business areas at all levels of leadership to validate regulatory communications from regulators impacting CalOptima Health's Medi-Cal program.</li>
<li>Supports process improvements for the Office of Compliance department.</li>
<li>Serves as a Medi-Cal regulatory subject matter expert and lead for CalOptima Health's compliance issues and investigations.</li>
<li>Supports management in the readiness, coordination, oversight and remediation of regulatory audits, including but not limited to validating business area submissions, additional audit requests and written daily reports.</li>
<li>Researches and responds in a professional manner to questions pertaining to the Medi-Cal program.</li>
<li>Works with the director and manager with interactions and responses to regulatory representatives on compliance-related issues as needed.</li>
<li>Reviews and retains working knowledge of Medi-Cal policies and procedures related to assigned programs and projects.</li>
<li>Assists in the creation of communications and strategic alliances with regulators.</li>
<li>Researches and keeps current on the local, state and federal health care environment and health policy, identifying issues that may impact CalOptima Health's Medi-Cal program.</li>
<li>Coordinates the maintenance of public program benefit updates for accurate and consistent application by CalOptima Health and its provider community.</li>
<li>Participates and represents CalOptima Health in meetings and calls with regulators and associations and summarizes key points and impact to CalOptima Health's Medi-Cal program as needed. </li>
<li>10% - Administrative Support</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Initiates, facilitates and promotes activities to foster compliance awareness and encourages the reporting of compliance issues within the organization and related entities. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in health services administration, public health, public policy or a related field PLUS 4 years of experience in government, public or government affairs role in health care compliance or health plan requirements required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree. </li>
<li>Experience working with regulatory agencies in California. </li>
<li>Experience with Medi-Cal regulatory requirements and/or compliance in the areas of Customer Service, Grievance &amp; Appeals, Quality Improvement, Case Management, Claims Administration and/or Utilization Management. </li>
<li>Certification in Healthcare Compliance (CHC) or other compliance related certifications such as Certified Compliance and Ethics Professional.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>n/a</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6296744&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 25, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6296744" target="_blank">https://jobs.caloptima.org/jobs/program-policy-analyst-sr-medi-cal-compliance-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-c10c0223e159b943b7243c210753f920

Program/Policy Analyst Sr (Medi-Cal Compliance)

<h3>Job Description</h3>
Contracts Analyst
Our client is seeking a meticulous and process-oriented Contracts Analyst to support contract lifecycle management and legal documentation processes. This individual will play a key role in ensuring compliance, mitigating risk, and maintaining the integrity of contractual records. The ideal candidate is collaborative, analytical, and thrives in environments where precision, confidentiality, and cross-departmental communication are essential. If you excel at managing legal and leasing documentation while supporting business operations behind the scenes, this role provides an opportunity to make a meaningful impact on a high-performance team.
Key Responsibilities
<ul>
<li>Draft, review, and edit lease agreements, amendments, and related legal documentation under the guidance of legal and business leadership.</li>
<li>Maintain and update digital contract repositories, ensuring accurate version control and easy document retrieval.</li>
<li>Monitor and track key contractual elements such as insurance certificates, renewal options, expiration dates, and KYC/due diligence documents.</li>
<li>Support internal audits and compliance reviews by preparing and delivering timely, accurate documentation.</li>
<li>Coordinate with cross-functional departments—including Legal, Finance, and Operations—to ensure contract alignment with company policies and requirements.</li>
<li>Assist in the development and maintenance of standard operating procedures (SOPs), templates, and documentation workflows.</li>
</ul>
Qualifications &amp; Requirements
<ul>
<li>3+ years of experience in contract administration, legal operations, or corporate compliance.</li>
<li>Solid understanding of contract structures, legal terminology, and risk management principles.</li>
<li>Exceptional organizational skills and attention to detail; capable of managing multiple priorities under tight deadlines.</li>
<li>Strong written communication, proofreading, and document editing abilities.</li>
<li>Discretion and professionalism in handling sensitive and confidential information.</li>
<li>Proficiency in Microsoft Office Suite (Word, Excel, Outlook); experience with Salesforce, DocuSign, or other contract management systems is a plus.</li>
<li>Bachelor’s degree in Business Administration, Legal Studies, or related field preferred.</li>
</ul>

Contract Analyst

<h3>Job Description</h3>
Job Description
Hi, we're Brigit! A holistic financial health company helping everyday Americans build a brighter financial future. With a business model that is aligned with our customers, we create transparent, fair, and simple financial products that put money back in the hands of our members, help them spend wisely, avoid unfair fees and build their credit quickly. If autonomy, ownership, and having meaningful input at the company you work for is important to you, come join our growing team!
Brigit is doing innovative and exciting work, but don’t just take our word for it, our work is being recognized by others:
<ul>
<li>
Built In's 2025 Best Places to Work For In New York City
</li>
<li>
Built In’s 2024 &amp; 2025 Best Startups to Work For In the U.S.
</li>
<li>
Built In’s 2023 - 2025 Best Startups to Work For In New York City
</li>
<li>
Fast Company’s Most Innovative Companies of 2022
</li>
<li>
Business Insider’s Most Promising Consumer Startups 2022
</li>
<li>
Forbes Fintech 50 2022
</li>
</ul>
Role overview
The Disputes Analyst tracks and researches credit bureau disputes; responds to customers and credit reporting agencies to ensure discrepancies are resolved. They also investigate and respond to requests for point of authorizations arising from chargebacks, and ACH returns; produces monthly reporting to Brigit’s banking partner in a timely manner.
*Please note - this role will be a 3-6 month contract.
What you’ll be doing
<ul>
<li>
Reviews sensitive consumer information (credit bureau data, personal identifiable information, customer account information).
</li>
<li>
Managing internal dispute processes end to end, including investigation, responding, and information verification
</li>
<li>
Maintains a clear knowledge of current policies and procedures, as well as all applicable federal laws and regulations, and best business practices
</li>
</ul>
What you have
<ul>
<li>
Associate’s Degree or equivalent work experience
</li>
<li>
1+ years in operations or banking, fintech, credit disputes, and/or fraud
</li>
<li>
Chargeback and Credit Investigations &amp; Disputes experience preferred
</li>
<li>
Credit bureau e-OSCAR furnisher reporting experience preferred
</li>
<li>
Ability to use/learn current technology and software applications related to position
</li>
<li>
Attention to detail and strong analytical skills to review statements and reports accurately
</li>
<li>
Ability to prioritize tasks, manage time efficiently, and work independently in a fast-paced environment. Dedicated, self-directed and reliable
</li>
<li>
Knowledgeable of state and federal laws and agencies applicable to credit reporting, including the Fair Credit Reporting Act (FCRA) would be an asset and/or willingness to learn
</li>
</ul>
Compensation
The anticipated fee for this position is $24 - $30 per hour. The actual fee offered depends on the qualifications of the individual applicant for the contract position.
Brigit is committed to providing equal employment opportunities for all applicants and employees without regard to race, religion, color, sex, pregnancy (including breast feeding and related medical conditions), national origin, citizenship status, uniform service member status, age, genetic information, disability, or any other protected status in accordance with all applicable federal, state and local laws. We are proud to be an equal opportunity workplace.
If you require reasonable accommodation in completing an application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please email <a href="mailto:accommodations@hellobrigit.com" target="_blank">accommodations@hellobrigit.com</a>.

Disputes Analyst (Contract)

<h3>Job Description</h3>
Job DescriptionSalary: $60/hr 
Data Analyst (Contract) 
Location: Nashville, TN or Remote
 Salary: $60/hr
About Healthpilot:
At Healthpilot, we are on a mission to be a next-generation Medicare enrollment and engagement platform. What does that mean? We first help our customers find the right Medicare plan and then ensure they get the most out of that plan. We believe that great technology and AI are the key differentiators to providing meaningful, personalized support to all users who need help on their Medicare journey. We pride ourselves on our commitment to customer-centric, data-driven solutions, ensuring the best possible experience for our users.
 
About The Role:
We are looking for an experienced, Data Analyst to support our product, marketing, operations, and finance teams during our busiest season. This full-time role is ideal for someone who thrives in a fast-paced environment, is comfortable working autonomously, and loves turning data into actionable insights that improve business performance. This role will report directly into our Head of Product &amp; Data.
 
What Youll Do:
<ul>
<li>Be the go-to person for slicing, dicing, and storytelling with our data</li>
<li>Analyze consumer behavior across funnels and identify drop-offs, friction, and opportunities.</li>
<li>Measure and interpret results from A/B tests across the site and user flows.</li>
<li>Help us understand multi-touch attribution and optimize marketing spend.</li>
<li>Write complex SQL queries to extract, clean, and analyze data from our centralized data warehouse in Snowflake</li>
<li>Build dashboards and reports using BI tools to make insights self-serviceable for stakeholders.</li>
<li>Identify trends, anomalies, and opportunities buried deep in our dataand tell the story behind the numbers.</li>
<li>Help define metrics, ensure data quality, and work with the team to evolve how we measure success.</li>
</ul>
 
What We're Looking For:
<ul>
<li>5+ years of hands-on experience in data analytics or business intelligence.</li>
<li>Strong in SQL (you write it daily and comfortably).</li>
<li>Experience with BI tools such as PowerBI, Looker, Mode, Tableau, or equivalent.</li>
<li>Self-starter with strong prioritization and communication skillsyou know how to figure out whats important without a roadmap.</li>
<li>Comfortable working independently and remotely in a fast-moving environment.</li>
<li>Experience partnering with product, marketing, operations, and/or finance teams.</li>
</ul>
 
Nice to Have:
<ul>
<li>Previous experience in healthtech, insurtech, or regulated industries.</li>
<li>Familiarity with Python, dbt, or data modeling concepts.</li>
<li>Experience supporting enrollment flows or lifecycle marketing data.</li>
</ul>
Contract Details:
<ul>
<li>$60/hr</li>
<li>From start date through end of year 2025. Possibility of extension if the fit is right.</li>
<li>Core hours: Monday-Friday 9am-5pm CT</li>
<li>40 hours per week</li>
<li>Remote US Based</li>
</ul>
 
Healthpilot is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace.
 remote work

Data Analyst (Contract)

<h3>Job Description</h3>
Job Title: Contract Analyst
Job Summary
The Contract Analyst is responsible for administering specific assigned stages of the Terumo Medical Corporation (TMC) Sales Contract Lifecycle that may include any of the areas pertaining to drafting, reviewing, and analyzing the terms and conditions, pricing and performance of contracts that involve the sale of Terumo product, to ensure high quality contracts that are effective, equitable and compliant. The Contract Analyst will work closely with the Sales Organization, Corporate Account management as well as cross-functional departments such as Legal, Marketing, Customer Service and Finance to oversee one of the three pillars that encompass the administration and analytics of IDN, GPO, Hospital, and other sales contracts.
Job Details/Responsibilities
Contract Development and System Management
<ol>
<li>Collaborate with the Sales Team to plan and develop customer purchase agreements in accordance with TMCs approved templates and business standards.</li>
<li>Responsible for drafting and/or reviewing contract T&amp;C’s in order to understand and revise to include business decision language and comments prior to Legal review. </li>
<li>Capable of reading and understanding the terms and conditions of sales contracts to adjudicate accurate pricing, rebates, and fees deliverables.</li>
<li>Effectively communicate with internal (and as needed, external) stakeholders regarding contract and pricing status and terms.</li>
<li>Responsible for accurately completing and coordinating RFI’s, RFP’s, and contract submissions for the assigned regions, with the help of the Contracts Administrator.</li>
<li>Monitor and analyze contract compliance with Terumo contracts processes and policies.</li>
<li>Expertly understand TMCs national Group Purchasing Agreements to lead contractual administration obligations.</li>
<li>Identify necessary agreement templates and/or template modifications to meet business needs and collaborate with the legal team to analyze and implement. </li>
</ol>
Price Management
<ol>
<li>Review and execute contractually approved pricing and consignment contracts across all customers, upholding utmost accuracy.</li>
<li>Review of customer pricing to eliminate discrepancies proactively.</li>
<li>Effectively communicate with internal (and as needed, external) stakeholders regarding contract and pricing status and basic terms.</li>
<li>Monitor and analyze contract compliance with Terumo contracts and pricing processes and policies.</li>
<li>Responsible for administering TMCs national pricing including List Price, Intercompany Pricing setup and benchmark/discount level prices.</li>
<li>Implement the product lifecycle (new, discontinuation) set up requirements in all contracts and price applicable systems.</li>
</ol>
Job Responsibilities (continued)
Contract Analytics
<ol>
<li>Serve as a subject matter expert (SME) in contract performance to assigned sales regions, by retrieving and evaluating customer sales data, forecasting, and assisting in data-driven decisions.</li>
<li>Own the following local and/or regional contractual fees and incentive rebate payment activities from point of full execution to expiration:</li>
<li>Perform the calculation and processing of Administrative Fee and Incentive Rebates.</li>
<li>Perform the calculation of monthly accruals for Administrative Fee and Incentive Rebates and ensure timely posting to the Finance team.</li>
<li>Audit of the Administrative Fees and Incentive Rebates to ensure timely and accurate payment.</li>
<li>Prepare monthly, quarterly, and annual sales reports for assigned contracts.</li>
<li>Respond to fee and rebate related inquiries from both internal business partners and external customers. </li>
<li>Run and analyze ad-hoc reports to support pricing and contract initiatives.</li>
<li>Provide reports and analysis to department and senior management as requested.</li>
</ol>
The Contract Analyst will also own the following responsibilities that are critical to the Contract Lifecycle management continuum and TMC:
<ol>
<li>Understand the impact of key financial indicators for applicable Terumo business units, competition, and the marketplace. Utilize this knowledge to the benefit of the business.</li>
<li>Manage projects with minimal direction to help the business achieve objectives.</li>
<li>Work closely with Contract Administrators to manage areas of the contract life cycle within assigned sales regions to ensure synergies in responsibilities.</li>
<li>Continually evaluate relevant internal processes, procedures and systems and propose to management improvements.</li>
<li>Serve and be an effective team member on multi-disciplinary teams to solve problems and to increase the overall effectiveness of the department. </li>
<li>Demonstrate a commitment to patient safety and product quality by maintaining compliance with all TMC Quality Systems requirements. This includes but is not limited to the prompt recognition and forwarding of customer complaints (i.e. adverse events, product performance reports, etc.) to Quality Assurance (QA), and by ensuring all promotional messaging (i.e. branding strategies, product claims, etc.) and materials (i.e. literature) discussed or presented to customers are clinically accurate and adhere to AdvaMed guidelines and Terumo’s policy on Interactions with Healthcare Professionals. </li>
<li>Perform other job-related duties as assigned. </li>
</ol>
Working Conditions/Physical Requirements
This position exists in an office environment. Approximately 10% overnight travel is required.
Knowledge, Skills and Abilities (KSA)
<ul>
<li>Working knowledge of medical device industry contracting, including knowledge of standard business practices.</li>
<li>Ability to quickly learn Terumo’s products, procedures, and systems. </li>
<li>Must have strong written, verbal, and interpersonal skills. </li>
<li>Well organized and skilled at time management. Must be able to manage multiple priorities and deadlines while working under minimal supervision in a fast paced, deadline driven environment.</li>
<li>Strong computer skills including Microsoft Office and ability to run recurring and ad-hoc reports. Proficiency in MS Word including track changes and doc compare is required.</li>
<li>Excellent analytical, organizational, and critical thinking skills.</li>
<li>Must be able to handle confidential information. </li>
<li>Must be detail orientated and thorough. </li>
<li>Initiative-taker and able to work independently as well as part of a team.</li>
<li>Strong level of ownership and drive for meeting and exceeding expectations is required. </li>
<li>Ability to form strong, trust-based relationships with Corporate Account Managers and Sales Team. </li>
</ul>
Qualifications/ Background Experiences
<ul>
<li>Bachelor’s Degree and a minimum of 3 years of contract analyst and/or contract administration experience, or equivalent combination of education, training and experience required. </li>
<li>Experience with sales teams, contracting needs is required. </li>
<li>Must have knowledge of GPO, IDN, Hospital/Institutional, and/or other sales-based contracts and contracting processes.</li>
<li>Medical device and/or pharmaceutical contracting experience preferred, including knowledge of standard business practices.</li>
<li>Experience with a contracting ERP system (SAP, etc.) preferred.</li>
<li>Intermediate proficiency in Microsoft Excel and Word required.</li>
</ul>

<h3>Job Description</h3>
Job Description
We Are:
At Data Society, we provide bespoke, leading-edge data and AI solutions for Fortune 1,000 companies and federal, state, and local governmental organizations. We partner with our clients to educate, equip, and empower their workforces with the skills they need to achieve their goals and expand their impact. We are empowering the workforces of the future, from data literacy for all employees to support for data engineers and data scientists to train up on the most complex&nbsp;AI solutions and Machine Learning skills.
Job Summary:
The Data Analyst helps organizations better understand their data and needs through skilled requirements engineering, define and implement key metrics, query and analyze data directly with SQL to extract key insights and opportunities, and build best-in-class dashboards and reports using third-party tools such as Power BI or open-source JS libraries.&nbsp; This is a customer-facing role within a cross-functional team so the ability to manage timelines, work both autonomously and collaboratively, and communicate effectively are a must. As this position will help to support federal contracts with security requirements, you must be a US Citizen to qualify.&nbsp; This is a 6 month contract position with the option to renew or convert to Full-Time after 6 months.
Responsibilities:
<ul>
<li>Serve as an expert in gathering actionable requirements and executing against them in an agile environment</li>
<li>Collaborate closely with business stakeholders to gather requirements, understand reporting needs, and translate them into effective data solutions</li>
<li>Become deeply familiar with all relevant data sources used in projects—including where data is stored, associated data dictionaries, and dependencies</li>
<li>Investigate and assess existing reports with the ability to convert them into Power BI dashboards or enhance them as needed</li>
<li>Design and develop new reports and dashboards that provide meaningful insights and support decision-making</li>
<li>Define and develop metrics to measure operational health and excellence across organizations and initiatives</li>
<li>Conduct deep-dive analyses using SQL and BI tools to identify trends, patterns, and insights</li>
<li>Build interactive dashboards and reports using Power BI, Tableau, and/or JavaScript-based tools</li>
<li>&nbsp;Maintain and improve the integrity and reliability of internal and external data sources; collaborate with stakeholders to capture additional data and ensure accuracy and consistency</li>
<li>&nbsp;Regularly prepare reports and presentations that summarize findings, provide actionable insights, and track the impact of implemented strategies</li>
<li>Effectively communicate insights and recommendations to influence decision-making and drive growth</li>
</ul>
Skills you bring:
<ul>
<li>Bachelor’s degree</li>
<li>3+ years of experience with SQL</li>
<li>3+ years of experience with BI tools such as Tableau, Power BI, Looker</li>
<li>Intermediate coding skills in Python and JS</li>
<li>Advanced understanding of database structures, query optimizations, ETL development</li>
<li>Experience working in cloud infrastructures</li>
<li>Experienced with data orchestration tools like Airflow, transformation frameworks like dbt, and cloud deployment tools like Terraform.</li>
<li>Demonstrated exceptional oral and written communication skills.</li>
<li>The ability to work independently and in a team environment.</li>
<li>The ability to work effectively across functions, levels and disciplines.</li>
<li>Strong problem solving and critical thinking skills.</li>
<li>Superior team-working skills, and a desire to learn, contribute, and explore.</li>
<li>Experience with Snowflake, Databricks, Kafka, Flume, Spark, or Flink is a plus</li>
<li>Familiarity with Agile methodologies and working within Agile Teams</li>
<li>Experience with Jira for tracking work</li>
</ul>
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
This role supports government clients throughout Washington, DC, and may need to be on-site in DC up to a few days per week.
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HQg1PRuRgn

<h3>Job Description</h3>
Job Description
MoCaFi is committed to building a financial services platform that helps America's marginalized communities create wealth through better access to public, private, and social capital. We are a fintech built for government and non-profit organizations committed to creating finance for all. Our platform is a turnkey digital banking solution for delivering cash payments, deposit accounts, and wealth empowerment tools at the city, state, and federal levels.
MoCaFi has distributed over $100M in guaranteed basic income, cash assistance, emergency rental assistance, and emergency utility payments in over a dozen municipalities. We are led by a diverse team of finance, engineering, and startup professionals committed to closing America's racial wealth gap. We offer FDIC-insured bank accounts, municipal-funded disbursement cards, and financial empowerment services directly to consumers and through our public and private sector partners.
Job Description:
MoCaFi seeks a full-time 12-month contract Product Analyst to support our Federal payments program. Under the direction of a Senior Product Manager, the Product Analyst will own documentation, tracking, coordination, and tactical Product activities across the program. This role will report to the Sr. Product Manager to focus on the executional pieces of the product workstream related to the mobile app and website.. While MoCaFi is headquartered in New York City, this position can be based anywhere in the US. The range for this role is $36.06-$52.88 per hour based on your geographic location and experience.
Job Responsibilities:
<ul>
<li>Support Senior Product Manager in generating use cases as well as identifying potential edge cases, ensuring comprehensive product requirements gathering and documentation</li>
<li>Create and groom Jira tickets and assist with managing the product backlog</li>
<li>Participate in weekly grooming calls</li>
<li>Work with vendors and partners to review technical and operational specifications for their product offerings and ensure they can support the user requirements</li>
<li>Participate in the Product Collateral Management process and ensure that legal and compliance review and approve materials</li>
<li>Support the creation, maintenance, and organization of product documentation, including product specifications, user flows, and process workflows</li>
<li>Assist in defining product requirements while collaborating with the engineering and design teams </li>
<li>Assist with developing &amp; performing UAT testing for releases </li>
</ul>
Qualifications:
<ul>
<li>Bachelor's degree in Business/any related field, or at least four years of relevant professional experience in a product support, product analyst, or similar business analytical role</li>
<li>2+ years of experience working as an analyst in support of consumer DDA banking products, debit cards, prepaid cards, and or ACH products. </li>
<li>2+ years using Agile methodology and strong familiarity with Agile-based development management software</li>
<li>Intermediate knowledge of Google Suite, Figma/Visio, Microsoft Office, Jira, and Confluence </li>
<li>Demonstrated ability to manage and execute multiple tasks in parallel with a high degree of organization and attention to detail</li>
<li>Excellent communication (written, verbal, and presentation) and interpersonal skills</li>
</ul>
Why you'll love working here:
<ul>
<li>An empowering workplace that values initiative and critical thinking</li>
<li>Work on achieving our financial inclusion mission</li>
<li>A supportive and inclusive culture: recognizes contributions and celebrates wins</li>
<li>A welcoming environment that appreciates your bringing your entire self to work</li>
<li>Time to rest and recharge -- flexible time off policy as long as you can get your job done and make arrangements with your manager to cover you if needed</li>
</ul>
MoCaFi believes all persons should have equal access to its programs, facilities, and employment. This policy is without regard to race, color, ancestry, national origin, age, gender, sexual orientation, gender identity, age, religion, disability, medical condition, genetic information, marital, or veteran status.

Product Analyst (Contract)

<h3>Job Description</h3>
Job Description
Analyst, Contract Operations 12+ Month W2 Contract Lehi, UT (hybrid)
Here’s how you’ll make an impact on the team:
<ul>
<li>Support customer account management, contract execution, order processing, billing, and product provisioning</li>
<li>Validate complex revenue transactions to ensure compliance with product and policy standards</li>
<li>Ensure SOX compliance and assist with audits through documentation and control testing</li>
<li>Serve as a knowledge expert on customer data related to contracts and order fulfillment</li>
<li>Monitor automated transactions and troubleshoot system errors as needed</li>
<li>Provide escalation support and resolve issues across sales, customer service, finance, and legal teams</li>
<li>Identify and lead automation initiatives to improve scalability and efficiency</li>
<li>Support product launches and acquisition integrations by adapting and documenting new processes</li>
<li>Generate reports for reconciliation, planning, and performance tracking</li>
<li>Maintain thorough documentation, including procedures, FAQs, and onboarding materials</li>
</ul>
Here’s what you’ll need to be successful in this role:
<ul>
<li>Bachelor's degree or regional equivalent 2-5 years of experience in a similarly related role</li>
<li>Strong written and verbal communication and presentation skills</li>
<li>Relentless attention to detail with a central focus on customer experience</li>
<li>Critical thinking skills to solve unique challenges</li>
<li>Ability to prioritize, multitask, and meet crucial deadlines</li>
<li>Solid documentation and organizational skills</li>
<li>Self-starter that can execute work independently</li>
<li>Capable interpretation of legal contracts, terms, and conditions</li>
<li>Knowledge of accounts receivable, revenue recognition, and finance operations</li>
<li>Demonstrated proficiency with standard tools (Office 365, ERP, CRM)</li>
</ul>
Pay Range: 
$23.00 - $25.00/hour
Benefits That Matter to You: 
<ul>
<li>NextDeavor offers health, vision and dental benefits for contract employees</li>
<li>Paid sick leave eligibility is contingent on state of residence</li>
<li>Optional 401k Plan (excludes employer match)</li>
<li>Opportunity to get your foot in the door at a well-established corporation, with potential for extended or permanent full-time employment (NextDeavor boasts an impressive conversion rate of approximately 80%)!</li>
</ul>
Ready to take the next step? Apply today and be part of a team that transforms businesses and fuels growth!
Apply with Pioneers here &lt;<a href="https://nextdeavor.thepioneers.ai/jobs/Adobe--analyst-contract-operations&amp;gt" target="_blank">https://nextdeavor.thepioneers.ai/jobs/Adobe--analyst-contract-operatio…</a>;!

Analyst, Contract Operations

<h3>Job Description</h3>
Job Description
POSITION SUMMARY 
The Configuration Analyst will be responsible for supporting all aspects of system configuration ensuring that all system configurations are programmed accurately for Authorizations and Claims.
RESPONSIBILITIES-DUTIES 
<ul>
<li>Configure rates based on provider contracts to ensure accurate payments of claims and capitations to providers.</li>
<li>Configure rates based on vendor contracts to ensure accurate payments.</li>
<li>Maintain system configuration based on data received from contracting</li>
<li>Audit accuracy of Fee schedules in test environment prior to in-loading in production</li>
<li>Assign Fee Set Assignments by line of business or health plan code</li>
<li>Program and audit Interest Payment </li>
<li>Program and audit RBRVS Geographical Adjustment</li>
<li>Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system as necessary</li>
<li>Coordinating with internal departments to resolve and assist with system related issues/builds</li>
<li>Other duties may be assigned by the Supervisor of Contract Configuration or Manager of Contract Configuration.</li>
<li>Ability to handle fluctuating volumes of work and be able to prioritize work to meet deadlines and needs of user community.</li>
</ul>
EDUCATION &amp; EXPERIENCE REQUIREMENTS 
<ul>
<li>Minimum 5 years’ of administrative healthcare experience preferred </li>
<li>High School Diploma or GED, some college preferred</li>
</ul>
<ul>
<li>Experience with benefits and system configuration and interpretation</li>
<li>Medical terminology, CPT, Revenue codes, ICD10, RBRVS, HCPCS, HIPPS code sets</li>
<li>Must have experience with all lines of business, Medicare, Medi-Cal, and Commercial claims and know industry guidelines</li>
<li>Knowledge of software applications such as EZCAP is a plus</li>
</ul>
<ul>
<li>Must be familiar with Microsoft Office (Word, Excel, Outlook, Microsoft, Access, SQL) </li>
</ul>
<ul>
<li>Follow up on assignments, show initiative, be self-motivated, and have a strong work ethic</li>
<li>Possess strong time management skills, including the ability to prioritize deadlines on multiple projects.</li>
<li>Produce accurate and high-quality work on time and consistently.</li>
<li>Individual should also demonstrate the ability to work with all levels of staff within AMM</li>
<li>Must be highly organized and able to perform multiple tasks efficiently, be computer literate </li>
<li>Ability to work in a fast-paced environment</li>
</ul>
<ul>
<li>Strong analytical skills and problem solving skills are necessary</li>
<li>Must obtain a positive attitude and have excellent communication skills</li>
</ul>
AMM BENEFITS
When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:
<ul>
<li>Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.</li>
<li>Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.</li>
<li>Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.</li>
<li>Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.</li>
<li>Career Development: Tuition reimbursement to support your education and growth.</li>
<li>Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!</li>
</ul>

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