- Prime Therapeutics (Madison, WI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Trade Relations Analyst Sr - Remote **Job Description** The Senior Trade ... Relations Analyst is responsible for performing multifaceted financial analyses to...code + Represent the Trade Relations department at client Pharmacy and Therapeutic Review meetings and participate in corporate… more
- Highmark Health (Madison, WI)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Markets business owners, stakeholders and other management, as required, to ... achieve Pharmacy Markets growth objectives. Organize and coordinate Pharmacy Markets activities to focus on the successful delivery of desired results. Monitor… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness… more
- Intermountain Health (Madison, WI)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... New York, Rhode Island, Vermont, and Washington._** The Principal analyst is responsible for providing overseeing technical support, configuration, integration,… more
- CVS Health (Madison, WI)
- …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... You will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not...standard and ad-hoc client and regulatory Prompt Pay and Pharmacy Payment Compliance reporting using SQL and SAS. You… more
- CVS Health (Madison, WI)
- …more compassionate. And we do it all with heart, each and every day. **Senior Analyst - Third Party Revenue Cycle** The Senior Analyst provides project and ... define delivery channels in partnership with IT. The Senior Analyst plays a key role in strategic planning, vendor...as SQL, Teradata, Snowflake, or VBA + Knowledge of Pharmacy Accounts Receivable and/or Revenue Cycle processes + Familiarity… more
- Prime Therapeutics (Madison, WI)
- …decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery Program Claims ... Analyst is responsible for serving as a subject matter expert on our Home Delivery and Specialty pharmacy partners and Pharmacy Match product which may… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** Data & Reporting Analyst - REMOTE **Job Description** The Data & Reporting Analyst is ... and modeling + PBM experience or experience working with medical claims, pharmacy claims, healthcare and/or benefits data + Experience in the implementation of… more
- Intermountain Health (Madison, WI)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... Illinois, New York, Rhode Island, Vermont, and Washington._** + The staff Analyst is responsible for providing technical support, configuration, and maintenance for… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst assists in ... and regulatory issues that impact Prime's compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions… more
- Baylor Scott & White Health (Madison, WI)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... TPA business requirements preferred.Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits package includes… more
- CenterWell (Madison, WI)
- …a detail-oriented and experienced Home Health Facility Licensure & Regulatory Compliance Analyst to join our team. The successful candidate will oversee facility ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Norstella (Madison, WI)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Oct 27, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... Advanced degree (Master's or Doctorate) in Biostatistics, Epidemiology, Public Health, Pharmacy (PharmD), Medicine (MD/DO), or a related field. + Experience working… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep… more
- Molina Healthcare (Madison, WI)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates * Assists and collaborates with the national Risk… more
- Molina Healthcare (Madison, WI)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the… more