- Prime Therapeutics (Jefferson City, MO)
- …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 (Jefferson City, MO)
- **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
- Children's Mercy Kansas City (Kansas City, MO)
- …beyond the walls of our hospital. Overview The Senior Informatics Applications Analyst supports the mission, vision, and strategic priorities of Children's Mercy and ... the Health Informatics and Technology(HIT) division. The Senior Applications Analyst serves as technical HIT subject matter expert for the clinical applications and… more
- Prime Therapeutics (Jefferson City, MO)
- …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
- TEKsystems (St. Louis, MO)
- …analytical mindset and a passion for problem-solving? We're seeking a Claims Technical Analyst to join a dynamic team supporting pharmacy benefit operations. ... Now Hiring: Claims Technical Analyst (Remote) Contract Duration: Through June 2026 (with...reporting Top Skills + Claims research & analysis + Pharmacy Benefit Management (PBM) knowledge + Data reporting &… more
- Prime Therapeutics (Jefferson City, MO)
- …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
- Children's Mercy Kansas City (Kansas City, MO)
- …children beyond the walls of our hospital. Overview The Informatics Applications Analyst supports the mission, vision, and strategic priorities of Children's Mercy ... and Information Technology. The Analyst serves as the technical Health Informatics and Technology...manages projects and programs in assigned area (Providers, Nursing, Pharmacy , Allied Health, and/or Laboratory/Radiology) and assists with more… more
- CVS Health (Jefferson City, MO)
- …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... You will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not...standard and ad-hoc client and regulatory Prompt Pay and Pharmacy Payment Compliance reporting using SQL and SAS. You… more
- Prime Therapeutics (Jefferson City, MO)
- …decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery Program Claims ... Analyst is responsible for serving as a subject matter expert on our Home Delivery and Specialty pharmacy partners and Pharmacy Match product which may… more
- Prime Therapeutics (Jefferson City, MO)
- …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
- Prime Therapeutics (Jefferson City, MO)
- …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 (Jefferson City, MO)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst assists in ... and regulatory issues that impact Prime's compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions… more
- Baylor Scott & White Health (Jefferson City, MO)
- + **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
- The Cigna Group (St. Louis, MO)
- **Position Summary** The Business Communications Lead Analyst will provide planning and communications counsel for Evernorth Regulated Markets communications. The ... Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- CVS Health (Jefferson City, MO)
- …each and every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters department, you will ... work exclusively with Pharmacy generated Medicaid encounters. You will be responsible for researching, analyzing and correcting previously submitted, rejected,… more
- Evolent (Jefferson City, MO)
- …**What You'll Be Doing:** **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management tools to solve ... + Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data regarding health plan cost & use and make recommendations based… more
- Cardinal Health (Jefferson City, MO)
- …500. We currently have a career opening for a Reimbursement Solutions Analyst . **What Clinical Operations contributes to Cardinal Health** Clinical Operations is ... regimens as insurance indicates + Discuss medication options with pharmacy /physician and patient based on accessibility and availability (outpatient environment)… more
- Prime Therapeutics (Jefferson City, MO)
- …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
- The Cigna Group (St. Louis, MO)
- The Sales Operations Senior Analyst plays a critical role in supporting operational functions across the Commercial Division to drive strategic initiatives and ... Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. We… more
- Prime Therapeutics (Jefferson City, MO)
- …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