Search the 12 jobs at Univera Healthcare

Responsible for recording financial data, preparing financial reports, and assisting in financial analysis. Participates in special projects, maintains financial schedules, and offers process improvement suggestions. Demonstrates integrity and adherence to corporate policies. Provides support at different levels of financial analysis as per job level (I/II/III).

The Community Connections Representative assists the Health Plan in establishing a presence in the community through home visits and outreach, educating members about accessing community resources and assisting with addressing social determinants of health (SDoH) barriers and care gaps.

Develop, maintain, and coordinate cyber defense activities for the organization's information security program. Provide technical Cyber Defense services, support for lines of business, and information security consulting. Monitor systems for malicious activity, assist in maintenance of cyber defense technologies, and integrate cyber defense tools into systems. Participate in audits, maintain integrity, and ensure member privacy. Support documentation retention, eDiscovery, and data collection services.

Supports corporate goals and objectives through strategic planning, brand development, promotion, and campaign management. Responsible for managing internal and external agency partners, overseeing brand standards, and analyzing audience data for marketing plans. Manages budget allocation and reporting.

The Cyber Defense Analyst role develops, maintains, and coordinates the Organization's cyber defense activities. Responsibilities include timely detection of possible attacks, monitoring systems for malicious activities, assisting in cyber defense technologies, participating in audits, and maintaining integrity and privacy standards. Level II responsibilities include threat intelligence assessment, serving as Subject Matter Expert, providing technical support, incident response, and integrating security tools into systems.

The Scrum Master improves team & customer experience by leveraging Agile delivery techniques. Responsible for Agile Scrum growth, maintaining high performance of processes, supporting Agile culture.

The Risk Adjustment Analyst performs data and analytical services to optimize risk adjusted revenue, maintain compliance, and model financial impacts of changes in risk adjustment data and methodologies. Responsibilities include encounter data processing, reconciliation, ROI calculation, regulatory audits, and financial projections.

The Software Developer is responsible for utilizing agile development methodologies to analyze, develop, and test system solutions in response to business requirements. Responsibilities include developing code, analyzing system issues, participating in design reviews, and maintaining application documentation.

The Risk Adjustment Coding Coordinator is responsible for decision-making and implementation of medical coding reviews to ensure accurate revenue to the Health Plan. Responsibilities include prospective and retrospective medical record review, risk adjustment coding, and quality assurance validation.

The Salesforce Administrator will manage day-to-day operations, configure Salesforce to fit company needs, create and manage fields, views, reports, dashboards, and campaigns. Responsible for system stability, scalability, new feature implementation, and user support and training.

Responsible for developing, recommending, executing, and overseeing regional CIP strategy, leading the collaborative selection and execution of all regional community investments, and facilitating company relationships with key community partners.

The Manager, Risk Adjustment Modeling is responsible for the creation and maintenance of risk adjustment data models, collaborating with internal departments, and supervising a team of data analysts.