- Highmark Health (Madison, WI)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with the Pharmacy Medicaid /DSNP business unit business owners, stakeholders and ... other management, as required, to achieve the Pharmacy Medicaid /DSNP business unit growth objectives. Organize and coordinate the Pharmacy Medicaid… more
- Prime Therapeutics (Madison, WI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT ... Business Systems Analyst is responsible for solving...from direct and indirect leadership **Preferred Qualifications** + Previous Pharmacy Benefit Management (PBM) or healthcare experience with understanding… more
- Molina Healthcare (Madison, WI)
- … needs. Performs analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Compliance Analyst -Medicare Part B- REMOTE **Job Description** Job Description The Compliance ... Analyst assists in the implementation of Prime's compliance programs...the organization to validate requirements are met and that business operations are aligned with expectations of applicable regulatory… more
- Prime Therapeutics (Madison, WI)
- …on trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ...projections + Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and… more
- Prime Therapeutics (Madison, WI)
- …on trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support, and ... drives every decision we make. **Job Posting Title** Actuarial Analyst - REMOTE **Job Description** The Actuarial Analyst...reporting, and projections + Perform and review ad hoc pharmacy data mining and analyses to help investigate and… more
- Molina Healthcare (Madison, WI)
- …Medical Record Review tracking, Interventions tracking for at least one line of business among Medicaid , Marketplace and Medicare/MMP. + 3+ Years of experience ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...as well as Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. + Analysis and reporting related… more
- Molina Healthcare (Madison, WI)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses of action for… 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