- CVS Health (Scottsdale, AZ)
- … will have primary responsibility and ownership of the administration of client and pharmacy claim data reporting. This position is responsible for ensuring the ... IL., Hartford, CT., or Woonsocket, RI **Position Summary** PBM Financial Operations Data Reporting is responsible for the implementation and ongoing support of … more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. **Position Purpose:** Pharmacy /Clinical Service Data Analyst is responsible for ... data collection, data verification and data reporting in compliance with the Plan requirements and...do:** Develop and run detailed ad hoc reports for pharmacy claims analysis and review. . Coordinate… more
- The Cigna Group (Bloomfield, CT)
- …improves our business solutions? Do you have a high degree of technical expertise in claims systems? EviCore, a line of business within the Cigna Group, is hiring a ... Claim Systems, Business Solutions Lead Analyst to provide focused support on implementations, expansions, and...work closely with external clients, internal stakeholders, project managers, claims systems, claims product and planning and… more
- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with… more
- Novant Health (NC)
- … Analyst II. The Pharmacy Business Analyst II use data to improve claims reconciliation, billing processes and inventory management processes for ... and best practices are considered during solution review. Understand management structure in Pharmacy and business architect of analyst teams at Novant Health.… more
- UCLA Health (Los Angeles, CA)
- …will provide analytical support for the day-to-day business operations of UCLA Ambulatory Pharmacy . You will work closely with frontline staff and pharmacy ... You will assist with AR reconciliation, insurance contracting, audit of weekly claims exceptions etc. In a fast-paced and high intensity environment, you must… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst III is a...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- MVP Health Care (Schenectady, NY)
- …root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity ... Technical Business Analyst Encounter Data Integrity & Delivery...at [email protected] . **Other details** + Job Family Claims /Operations + Pay Type Salary + Min Hiring Rate… more
- Albany Medical Center (Albany, NY)
- …supervisory-level purchasing and inventory monitoring metrics and controls for all Albany Med pharmacy sites. The analyst will manage, monitor and report on key ... Department/Unit: Pharmacy Work Shift: Day (United States of America)...of America) Salary Range: $71,612.39 - $110,999.20 The 340B Analyst is responsible for advising, establishing, and helping to… more
- Access Dubuque (Dubuque, IA)
- …The Strategic Pricing Analyst position monitors contract performance, analyzes pharmacy claims data , delivers financial reconciliations, and develops ... Senior PBM Pricing Analyst **MedOne Pharmacy Benefit Solutions** 1...trends client or pharmacy performance by analyzing pharmacy claims data and looking… more
- WMCHealth (Valhalla, NY)
- …accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the implementation ... contract pharmacy relationships, including contract language, fee structures, and data setup, ensuring compliance with 340B requirements. + + Assess cost-saving… more
- The County of Los Angeles (Los Angeles, CA)
- …EHR modules including but not limited to: Registration, Scheduling, Lab, Radiology, and Pharmacy by conducting workflow data analysis, data mapping and ... PRINCIPAL INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3121047) Apply PRINCIPAL… more
- MyFlorida (St. Petersburg, FL)
- HUMAN SERVICES PROGRAM ANALYST - 64036728 1 Date: May 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM ANALYST - 64036728 1 Pay Plan: Career Service Position...providers as needed. + Processes stat referrals as assigned. Data Review + Verify data requested from… more
- CVS Health (Buffalo Grove, IL)
- …Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS...You will work with a collaborative, close-knit team on pharmacy and member specific claims data… more
- The County of Los Angeles (Los Angeles, CA)
- …EHR modules including but not limited to: Registration, Scheduling, Lab, Radiology, and Pharmacy by conducting workflow data analysis, data mapping and ... SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3124187) Apply SENIOR… more
- The Cigna Group (Jefferson City, MO)
- …communications. The Lead Analyst will support analytics of operational data , specific to claims processing, adjustments, and PDE/Encounters for the ... **Product Management Lead Analyst - Centene Operations Management** The job profile...support from others. + Develop and support analytics of claims , adjustments data to support client initiatives… more
- Royal Electric (Sacramento, CA)
- …Required Skills & Abilities + Analytical skills required to assemble and interpret claims , metrics and loss data , and produce regular reports showing status ... Culture Short Story (https://www.royalelect.com/join-team-royal/) We are hiring for a Safety & Claims Administrator in Sacramento, CA or Long Beach, CA. Success in… more
- HCA Healthcare (Nashville, TN)
- …to update monthly reporting scorecard for performance guarantees. + Provide premium, claims , and administrative fee data to actuarial consultants to assist ... that invests in you as a Senior Benefits Financial Analyst ? At HCA Healthcare, you come first. HCA Healthcare...you will support employee benefits financial reporting, budgeting, and data management processes for the enterprise. You will establish… more
- Walgreens (Deerfield, IL)
- …through integration. May execute entire implementation for smaller projects. + Analyzes claims data , utilization and prescriber information from clients in order ... in development, facilitation, and execution of Client Implementations. The 340b Implementation Analyst will interact with Pharmacy Services, Pharmacy /Store… more
- AmeriHealth Caritas (Newtown Square, PA)
- …of the Enterprise Core Administration team, responsible for technological changes within the FACETS Claims Systems and for the exchange of data between ACFC and ... / Education:** + At least eight (8) to ten (10) years of relevant Healthcare Claims experience as a Business Systems Analyst in a fast-paced environment. +… more
Related Job Searches:
Analyst,
Claims,
Claims Analyst,
Claims Data Analyst,
Data,
Pharmacy,
Pharmacy Data