• Senior Medical Pharmacy Analyst

    Prime Therapeutics (Phoenix, AZ)
    …passion and drives every decision we make. **Job Posting Title** Senior Medical Pharmacy Analyst - Remote **Job Description Summary** Responsible for leading and ... solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Understanding of CPT and ICD-9… more
    Prime Therapeutics (05/18/24)
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  • Pharmacy Credentialing & Audit…

    CVS Health (Scottsdale, AZ)
    …to make health care more personal, convenient and affordable. Position Summary The Pharmacy Quality Control Analyst position is responsible for the timely and ... credentialing and contract audit sampling fulfillment; and legal-regulatory requests for pharmacy contracting information. Duties of the Analyst require a… more
    CVS Health (05/03/24)
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  • Epic Willow/ Pharmacy Applications…

    HonorHealth (Scottsdale, AZ)
    …Responsibilities Job Summary Under the direction of Leadership, the IT Applications Analyst Pharmacist is responsible to empower our community through the continuous ... and support of vendor proprietary enterprise application software. The Application Analyst Pharmacist supports software that is necessary to run clinical, financial,… more
    HonorHealth (05/01/24)
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  • Business Analyst II - Remote preferably…

    Prime Therapeutics (Phoenix, AZ)
    …design specifications according to standards. **Job Description** + This dedicated Pharmacy Analyst will coordinate projects, provide administrative assistance, ... its unique position in both a business and healthcare continuum. The Pharmacy Analyst shall have knowledge of system process analysis and/or program management.… more
    Prime Therapeutics (06/12/24)
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  • Analyst - Network Management

    CVS Health (Phoenix, AZ)
    …to make health care more personal, convenient and affordable. Position Summary The Analyst - Pharmacy Non-Compliance positions requires a motivated and eager ... oriented and can multi-task. This role will be responsible for addressing pharmacy contract non-compliance allegations that are sensitive and complex. The Analyst more
    CVS Health (06/16/24)
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  • Professional Practice Operations Analyst

    Elevance Health (Chandler, AZ)
    **Be Part of an Extraordinary Team.** BioPlus Specialty Pharmacy is now part of CarelonRx, and a proud member of the Elevance Health family of companies. Together, ... throughout the consumer's treatment journey. The **Professional Practice Operations Analyst ** is responsible for promoting and facilitating the development,… more
    Elevance Health (06/15/24)
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  • Membership Operations Analyst

    CVS Health (Phoenix, AZ)
    …Department for CVS/Caremark when working with the assigned Medical Partners/Vendors. This Analyst will be accountable for interactions with that the assigned medical ... partner/vendor. This Analyst will be responsible for overseeing the transactions shared...SharePoint, Visio, Project, etc. 8. Experience with health care, pharmacy benefit management, integrated accumulations, a plus. 9. Operate… more
    CVS Health (06/19/24)
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  • Configuration Analyst

    ManpowerGroup (Tempe, AZ)
    …hardworking, motivated Analyst to join their team. **(** _independent, trend-focused pharmacy benefit manager_ **)** Don't wait apply today! Whats in it for you? ... **Configuration Analyst - $23.00** Our client in **(Tempe, AZ)**...such that when an insured member goes into a pharmacy , the claim adjudicates as the insurer has requested… more
    ManpowerGroup (06/18/24)
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  • Actuarial Analyst - Analytics/Forecasting

    Humana (Phoenix, AZ)
    …of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
    Humana (06/13/24)
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  • Senior Pricing Analyst

    CVS Health (Phoenix, AZ)
    …role? There is no better place than as an Underwriting Sr. Pricing Analyst (Individual Contributor) in our Client Financial Analysis and Proposals department. As an ... Sr. Pricing Analyst , you will support Sales in growing our business...how CVS Health is expanding in the healthcare and pharmacy benefits management (PBM) industry. Our Underwriting Sr. Pricing… more
    CVS Health (05/27/24)
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  • Sr. Rebate Trade Analyst - Remote

    Prime Therapeutics (Phoenix, AZ)
    …passion and drives every decision we make. **Job Posting Title** Sr. Rebate Trade Analyst - Remote **Job Description** The Senior Trade Relations Analyst is ... suggested net cost improvements, and responding to inquiries + Assist in new analyst training, creation of training documentation and new procedures + Create new… more
    Prime Therapeutics (05/17/24)
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  • Formulary Analyst , Clinical Support

    CVS Health (Phoenix, AZ)
    …health care more personal, convenient and affordable. Position Summary The clinical support analyst role on the CVS Clinical Account Services team is a great ... for an individual with analytical interest and skills in pharmacy and the managed care environment. The individual will...years of work experience in a health plan, PBM, Pharmacy , benefits or insurance background. + Excellent presentation and… more
    CVS Health (06/02/24)
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  • Senior Analyst , Business Analytics

    CVS Health (Scottsdale, AZ)
    …health care more personal, convenient and affordable. Position Summary As a Senior Analyst - Drug File Administration you will be responsible for reviewing and ... at various intervals (ie daily, weekly, monthly) from multiple vendors. The Senior Analyst - Drug File Administration is essential to ensuring thorough analysis of… more
    CVS Health (05/12/24)
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  • Accounts Receivable Process Analyst

    BrightSpring Health Services (Phoenix, AZ)
    …balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash transfer & check requests to the ... Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in need of chronic and/or… more
    BrightSpring Health Services (06/21/24)
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  • Sr Analyst , Financial OPS

    CVS Health (Scottsdale, AZ)
    …out of the Scottsdale, AZ office. Three day in-office required. The Sr. Financial Analyst is responsible for a variety of tasks that support the operations and ... disbursement functions of the Pharmacy Payments department. The Pharmacy Payment team is responsible for : C oordinating EFT set-ups, 835 electronic remittance… more
    CVS Health (06/22/24)
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  • Sr Analyst , Fin OPS

    CVS Health (Scottsdale, AZ)
    …opportunity to join our PBM Finance Systems Improvement team as Senior Analyst . The Systems Improvement team manages a variety of cross-functional strategic and ... to meet all project deadlines. Required Qualifications + 2+ years of Pharmacy Benefit Manager (PBM) or Healthcare industry experience. + Previous experience with… more
    CVS Health (06/20/24)
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  • Analyst , Network Management

    CVS Health (Scottsdale, AZ)
    …get well, but help them stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims submitted through the ... CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies...also offer paid holidays Required Qualifications - Valid AZ Pharmacy Technician or Pharmacy Technician Trainee License-1… more
    CVS Health (05/30/24)
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  • Senior Stop Loss Claims Analyst

    Highmark Health (Phoenix, AZ)
    …+ Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with ... **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively. +… more
    Highmark Health (06/20/24)
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  • Senior Analyst - Reporting - Network…

    CVS Health (Phoenix, AZ)
    …care more personal, convenient and affordable. Position Summary In the Senior Analyst - Reporting - Network Directory Development position, you will support the ... with logic, as needed, in SQL + Producing files used to support pharmacy directory creation and reporting + Collaborating in reporting and application development… more
    CVS Health (05/17/24)
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  • Senior Reporting Analyst , Fin Ops

    CVS Health (Scottsdale, AZ)
    …opportunity to join our PBM Finance Enablement team as a Sr. Reporting Analyst within our Data, Analytics, and Automation team. CVS Health strives to continuously ... a plus: Python, R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure + Pharmacy Benefits Management (PBM) and/or Medicaid experience + Experience in highly regulated… more
    CVS Health (05/23/24)
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