- Prime Therapeutics (Columbus, OH)
- …that. It fuels 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 ...**Preferred Qualifications** + Pharmacy Benefit Management/health care experience + Medicare Part D, Medicaid, and/or Affordable Care… more
- Trinity Health (Columbus, OH)
- …CMS required Part D data reporting. . Responsible for CMS compliance requirements with regard to written communications to Members and Providers. . Responsible ... with CMS. . Performs routine audit activity as part of the Plan's Compliance program. **What...of insurance or healthcare experience with a preference for Medicare Advantage Part D actual experience preferred.… more
- Prime Therapeutics (Columbus, OH)
- …Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements ... decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The IT Business Systems ...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Intelligence Engineer will be an integral part of the Pricer Business and System Support team...plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Lead Data Scientist at Humana Healthcare Research uses mathematics, statistics, modeling, ... of experience at a research organization in roles such as researcher, data analyst /engineer, data scientist, or developer. + Expert proficiency in SQL and Python. +… more