- Prime Therapeutics (Phoenix, AZ)
- …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 (Phoenix, AZ)
- **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 (Phoenix, AZ)
- … 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
- CVS Health (Phoenix, AZ)
- …we do it all with heart, each and every day. **Position Summary** The Clinical Analyst role on the CVS Clinical Account Services team is a great opportunity for an ... interest to use their skills in a managed care pharmacy environment. The individual will collect, analyze, and present...support strategic clinical consultation to our client(s). The Clinical Analyst will work on data requests primarily to support… more
- Prime Therapeutics (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** QA Analyst PBM Implementation - Remote **Job Description** The Quality Assurance (QA) Analyst ... years of experience within Claims Processing, Audit, Quality or Pharmacy + Must be eligible to work in the...experience in Clinical Review + If position sits within Pharmacy Audit department, the following qualifications are also required:… more
- BrightSpring Health Services (Phoenix, AZ)
- …BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join our team. As an A/R Process Analyst you ... or exclusions. + Maintain open communication with Billing Specialist, Cash Application Analyst and Operations. + Send cash transfer & check requests to the… more
- Prime Therapeutics (Phoenix, AZ)
- …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
- Molina Healthcare (Mesa, AZ)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- Prime Therapeutics (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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
- Intermountain Health (Phoenix, AZ)
- …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 Epic technical support, configuration, and… more
- Prime Therapeutics (Phoenix, AZ)
- …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 (Phoenix, AZ)
- + **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
- CVS Health (Phoenix, AZ)
- …to join a specialized team of auditors as part of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned ... Medicare Part-D Compliance Audit Programs, review pharmacy submitted Medicare claims, make independent decisions, and call network pharmacies to audit submitted… more
- Molina Healthcare (Mesa, AZ)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The **Senior Analyst , Utilization Management** plays a critical role in supporting clinical and operational ... queries to extract, validate, and analyze healthcare data, including claims, authorization, pharmacy , and lab datasets. * Build and maintain efficient ETL pipelines… more
- Molina Healthcare (Mesa, AZ)
- **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 (Mesa, AZ)
- **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
- Prime Therapeutics (Phoenix, AZ)
- …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
- Prime Therapeutics (Phoenix, AZ)
- …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