- Highmark Health (Providence, RI)
- **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
- Beth Israel Lahey Health (Westwood, MA)
- …a job, you're making a difference in people's lives.** This position supports BILH Pharmacy in Westwood and is (Hybrid / Remote). Job Summary: Key team player in ... financial management of BILH Pharmacy Inc. Responsibilities include variance analysis, budgeting, forecasting and financial analysis. This position will have… more
- Prime Therapeutics (Providence, RI)
- … Analyst - Remote **Job Description** The Recovery & Resolution Analyst is responsible for recovering inappropriate pharmacy payments related billing ... systems for recoupment of audits and investigations performed by the Pharmacy Audit Operations and Special Investigations Unit (SIU) teams. **Responsibilities** +… more
- Prime Therapeutics (Providence, RI)
- …passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst with ... to grow your career in the IT AI space.** The Sr. IT Business Systems Analyst (BSA) is responsible for serving as a key role solving highly complex system problems… more
- Prime Therapeutics (Providence, RI)
- …passion and drives every decision we make. **Job Posting Title** Senior Forecast Analyst - REMOTE **Job Description** The Senior Forecast Analyst is responsible ... of experience in detailed analytical work in financial, insurance, pharmacy benefits management, reporting & analytics, benefits consulting healthcare industries… more
- United Site Services (Westborough, MA)
- …and excellence in every aspect of our business. **Primary Purpose** The HR Analyst with strong Ultimate Kronos Group (UKG) expertise plays a critical role in ... but also aligns with strategic business goals. The HR Analyst acts as a bridge between HR, IT, and...& Paid Time Off (pro-rated for Part-Time employees) + Medical/ Pharmacy + Dental + Vision + Employer-Paid Short-Term Disability… more
- CVS Health (Woonsocket, RI)
- …purpose, we have several initiatives, existing and new, that are re-inventing pharmacy and enabling better health outcomes. In the Merchandising Organization, we ... support our company's purpose and our Pharmacy and Consumer Wellness vision to be America's most...Merchant Team is seeking a detail-oriented and results-driven Senior Analyst to support our Front Store Merchandising organization. This… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data & Reporting Analyst ... and modeling + PBM experience or experience working with medical claims, pharmacy claims, healthcare and/or benefits data + Experience in the implementation of… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Performance Guarantee Analyst Sr - Remote **Job Description** The Senior Performance Guarantee Analyst ... managing end-to-end projects related to quality metrics and/or performance + Pharmacy Benefit Management (PBM) or healthcare industry experience Must be eligible… more
- Prime Therapeutics (Providence, RI)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is ... reporting, and projections + Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the… more
- Baylor Scott & White Health (Providence, RI)
- + **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
- J&J Family of Companies (Raynham, MA)
- …to apply. **We are searching for the best talent for Senior Pricing Analyst - Advanced Analytics & Market Access Insights** to support the commercial organization ... is required + Knowledge of market access dynamics (eg payers, IDNs, specialty pharmacy , patient access, trade distribution) is preferred + Knowledge of buy and bill… more
- CVS Health (Woonsocket, RI)
- …Strategic Sourcing & Category Management **Position Summary** The Strategic Sourcing Analyst plays a critical role in executing sourcing events and supporting ... Engineering + Construction + DC Operations + Energy + Loss Prevention + Pharmacy Operations + Repairs & Maintenance **Required Qualifications** + 1-3 years of… more
- Prime Therapeutics (Providence, RI)
- …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
- Highmark Health (Providence, RI)
- …+ 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
- Prime Therapeutics (Providence, RI)
- …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
- United Site Services (Westborough, MA)
- …in every aspect of our business. **Primary Purpose** The Labor Compliance Analyst (Prevailing Wage) serves as the company's point of contact regarding Prevailing ... + Holiday & Paid Time Off (pro-rated for Part-Time employees) + Medical/ Pharmacy + Dental + Vision + Employer-Paid Short-Term Disability + Employer-Paid Employee… more
- CVS Health (Woonsocket, RI)
- …ensuring complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to ... Bachelor's degree preferred/specialized training/relevant professional qualification. **Preferred Qualifications** + Healthcare/ pharmacy industry experience and knowledge of pharmaceutical products. +… more
- CVS Health (Woonsocket, RI)
- …purpose, we have several initiatives, existing and new, that are re-inventing pharmacy and enabling better health outcomes. In the Merchandising Organization, we ... support our company's purpose and our Pharmacy and Consumer Wellness vision to be America's most...General Merchandise Team is seeking a detail-oriented and results-driven Analyst to support our Front Store Merchandising organization. This… more