- AmeriHealth Caritas (IA)
- …services. Discover more about us at www.amerihealthcaritas.com **Responsibilities:** + Ensures the data integrity of various pharmacy data sources and ... interprets results into recommendations. + Analyzes, researches, and interprets pharmacy data to identify potential issues, trends, and areas of interest that… more
- Highmark Health (Des Moines, IA)
- **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 ...manage all size projects (small, medium, large, enterprise). Analyzes data to determine business problem, trends, or opportunities for… more
- CVS Health (Des Moines, IA)
- …sometimes leading special projects and ad hoc reporting requests as needed + Provides data and analysis to support the unit's mission + Assists with analysis of key ... less experienced staff members **Required Qualifications** + 5+ years of data interpretation and analysis experience. + Budgeting/forecasting experience, and strong … more
- Highmark Health (Des Moines, IA)
- …of job responsibilities, employees may have access to covered information, cardholder data , or other confidential customer information that must be protected at all ... of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and… more
- Access Dubuque (Dubuque, IA)
- …The Strategic Pricing Analyst position monitors contract performance, analyzes pharmacy claims data , delivers financial reconciliations, and develops pricing ... Senior PBM Pricing Analyst **MedOne Pharmacy Benefit Solutions** 1...trends client or pharmacy performance by analyzing pharmacy claims data and looking for outliers… more
- Cardinal Health (Des Moines, IA)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... Works with the business team to understand business rules, data flow and appropriately create reporting and analytics for...program. + Works with complex datasets to perform exploratory data analysis to provide insights to make business decisions.… more
- Molina Healthcare (IA)
- …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and Risk ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data modelling and… more
- Intermountain Health (Des Moines, IA)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... scheduling, time and attendance, customer relationship management) The Principal analyst is responsible for providing overseeing technical support, configuration,… more
- Molina Healthcare (Davenport, IA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current… more
- Intermountain Health (Des Moines, IA)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... scheduling, time and attendance, customer relationship management) + The staff Analyst is responsible for providing technical support, configuration, and maintenance… more
- Evolent (Des Moines, IA)
- …health outcomes and a more connected care journey. We are hiring an Actuarial Analyst to join our Actuarial Services Team. **What You'll Be Doing:** The Actuarial ... Analyst will inform decision making across the company and...operating norms at a high-growth organization. **Responsibilities** + Perform data analyses and financial projections that impact foundational pricing… more
- Prime Therapeutics (Des Moines, IA)
- … analyses, reporting, and projections + Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer challenging ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ...questions regarding actuarial data and concepts + Collaborate with Underwriters, other areas… more
- Prime Therapeutics (Des Moines, IA)
- … data analyses, reporting, and projections + Perform and review ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions ... drives every decision we make. **Job Posting Title** Actuarial Analyst - REMOTE **Job Description** The Actuarial Analyst...regarding actuarial data and concepts + Assist with development of client… more
- Molina Healthcare (Des Moines, IA)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Evolent (Des Moines, IA)
- …value.** **Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings.** ... candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy,… more
- Molina Healthcare (Des Moines, IA)
- …Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Highmark Health (Des Moines, IA)
- …analysis + Analyze, evaluate and interpret appropriate financial and statistical data . + Develop and/or document business policies, conduct special financial and ... software, compiles and prepares reports, graphs and charts of data developed. + Serve as a project lead for...include MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager… more
- Highmark Health (Des Moines, IA)
- …+ 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 (Des Moines, IA)
- …Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities through analytics and reporting ... to aggregate, analyze and understand patterns in varied and complex data ; and articulates analytic findings, business implications, and recommendations to realize… more
- Trinity Health (Des Moines, IA)
- …12 Hour Day Shift **Description:** See Responsible for ensuring compliance of the pharmacy 340B program. Works closely with pharmacy staff, software companies, ... for tactics to elicit commitment and address resistance. 3. Utilizes data to identify opportunities for clinical variation, understands graphical representations of… more