- OhioHealth (Columbus, OH)
- …at least one in-person meeting per month in Columbus, Ohio. The Intermediate Informatics Data Analyst will support OhioHealth Pharmacy Services by analyzing ... proficiency in writing SQL queries, the ability to analyze complex data , and clear communication with requestors to ensure accurate reporting. RESPONSIBILITIES… more
- Fairview Health Services (Minneapolis, MN)
- …reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison ... **Job Overview** The Financial Analyst of Pharmacy Services Revenue Integrity...activities. The Financial Analyst extracts and validates data from various information systems and provides actionable information… 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 ... occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… 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 Supply Chain Analyst ( Data Science Analyst ...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Ascension Health (Glendale, WI)
- …role. **What You Will Do** This position seeks an Ascension Wisconsin Senior Data Analyst to furnish strategic insights regarding network rates, market share ... **We Are Hiring** We are hiring a full-time Senior Analyst to join the Ascension Data Sciences...preferred. **Additional Preferences** + Experience with healthcare industry, healthcare claims data , and/or corporate strategy is preferred… more
- NTT DATA North America (Raleigh, NC)
- …and outputs. + Work with claims (institutional, professional, dental, pharmacy ) and clinical data sources (lab, immunization, supplemental). + Collaborate ... NTT DATA Services currently seeks a **QA Data Analyst ** to join our team in...logic **Required Skills/Experience** + Minimum of 5 years healthcare data analytics experience with understanding of claims ,… more
- Prime Therapeutics (Phoenix, AZ)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and ... drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing...+ Develop financial pricing models to monitor performance against pharmacy claims data and identify… more
- Prime Therapeutics (Springfield, IL)
- …organization + Serves as the lead analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support ... + 5 years of relevant Healthcare experience including: analyzing and using healthcare claims data , clinical research study design, and/or epidemiology + Previous… more
- Centene Corporation (Lansing, MI)
- …all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, pharmacy , external reporting + Extract, load, model, ... a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects… 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
- Centene Corporation (Pembroke Pines, FL)
- … data collection, validation and outcome measurement. + May include: + Financial, pharmacy , claims , provider, and member data . + IRS, CMS, HHSC, ... gathering insights is highly preferred. Healthcare experience with provider and claims data analysis is preferred. Pay Range: $55,100.00 - $99,000.00 per year… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … Analyst is fast-paced, detail-oriented, and highly collaborative. The analyst begins by navigating complex data requests-balancing urgent consultant ... liaises with internal teams such as Network and Pharmacy , ensuring data is pulled using the...analyst is a proactive problem solver-delivering reliable, high-quality data that supports both internal operations and external compliance.… more
- Centene Corporation (Oklahoma City, OK)
- …all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, pharmacy , external reporting + Extract, load, model, ... perspective on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex ...data needs of the business unit. Handle complex data projects and acts as a lead for other… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Chief Health Information Officer. Given access to an extraordinary range of healthcare data (including medical and pharmacy claims , enrollment, EMR, ... with Business Strategy, the Senior Business Intelligence Analyst builds claims -based analytical models, integrates clinical and operational data , measures… more
- Elevance Health (Indianapolis, IN)
- …Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our strong, ... clinical-first lens and deep pharmacy expertise, we are actively defining our innovative role in the industry. **Build the Possibilities. Make an Extraordinary… more
- CVS Health (Largo, FL)
- …available benefits and services. + **Reporting & Analytics:** Review and interpret data related to claims , utilization, and service issues. Communicate insights ... we do it all with heart, each and every day. **Position Summary** The Benefits Analyst , Account Manager at CVS Health, you will play a critical role in supporting… more
- CareFirst (Baltimore, MD)
- …markets risk score methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data . Incumbent is responsible ... score calculation, financial risk calculations, submission processes and key regulatory deadlines for data submission. Understand the impact of the claims on the… more
- Norstella (Topeka, KS)
- …**healthcare data analytics** to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, ... Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States...Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data , in an… more
- CareFirst (Baltimore, MD)
- …risk score methodology, risk score calculation, enrollment, submissions, premiums, medical and pharmacy claims , and provider data . Incumbent is responsible ... & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy...based on the HHS-HCC (Hierarchical Condition Code) model. Perform data mining of claims and data… more
- The County of Los Angeles (Los Angeles, CA)
- PHARMACY SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3794484) Apply PHARMACY SUPERVISOR I Salary $164,128.32 - ... notice. DEFINITION: Supervises professional and support personnel in the provision of pharmacy services in a hospital, clinic, correctional facility, or other health… more
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