- Prime Therapeutics (Lansing, MI)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The Senior Compliance Analyst ... role is dedicated to the government program compliance in the Medicare, Medicaid , and the Affordable Care Act (ACA) spaces. **Responsibilities** + Executes… more
- Prime Therapeutics (Lansing, MI)
- …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 (Lansing, MI)
- …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
- CVS Health (Lansing, MI)
- …and for Sales/Clients for all CVS Health adjudication platforms and lines of business (Medicare Part D, Commercial, Medicaid , etc.). Our Analysts make high ... multiple requests/priorities, and produce/develop custom reports for multiple lines of business and specific clients regarding retail pharmacy network… more
- Molina Healthcare (MI)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... on how to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. Assists with research, development, and completion of special… more
- AmeriHealth Caritas (Detroit, MI)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... Network Management in dealings with provider agreements.; The Contract Management Analyst will assist the Manager, Provider Network Management in administering the… more