- WellSpan Health (York, PA)
- …regularly scheduled audits of contract pharmacies (if applicable) and 340B pharmacy operations to ensure compliance with 340B Program requirements for qualified ... Maintains up-to-date policies and procedures on 340B purchasing processes. - Develops systems and processes to limit program liabilities and provide proper audits to… more
- Highmark Health (Harrisburg, PA)
- …clearly defined and documented, high quality requirements, functional designs, and system supplemental specifications for new Pharmacy Markets applications ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Markets business owners, stakeholders and other management, as required, to… more
- AmeriHealth Caritas (Philadelphia, PA)
- …other administrative services. Discover more about us at www.amerihealthcaritas.com. As **Business Systems Analyst Lead** you will run critical projects and ... a SME for all components of a major ERP system "Oracle -PeopleSoft", understanding how the information ...processes for assigned area(s) of the business including how systems are used, how information flows, how… more
- Prime Therapeutics (Harrisburg, PA)
- …& Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for recovering inappropriate pharmacy payments related billing ... agency. This position ensures payment recoveries are accurately processed in Prime's systems for recoupment of audits and investigations performed by the Pharmacy… more
- Intermountain Health (Harrisburg, PA)
- …+ Possesses in-depth business and application knowledge and experience + Knowledge of system analysis and operating systems preferably used in a hospital setting ... is responsible for complex to expert level work supporting information technology application(s) through planning, designing, implementing, maintaining, and… more
- CVS Health (Monroeville, PA)
- …do it all with heart, each and every day. **Position Summary** CVS Health Specialty Pharmacy , a mail service pharmacy in the Monroeville area has an opportunity ... for a full-time Training Analyst . The Training Analyst will manage and...and send colleague-level and leader-level communications as needed for system enhancements and other changes that impact new hire… more
- Prime Therapeutics (Harrisburg, PA)
- …and train rebate analyst (s) + Assess, implement and communicate critical information for maintenance of rebate system ; including, contract amendments and ... every decision we make. **Job Posting Title** Sr Rebate Analyst **Job Description** The Senior Rebate Analyst ...+ Reports to Sr Professional or Director in the Pharmacy Trade Relations department Potential pay for this position… more
- Prime Therapeutics (Harrisburg, PA)
- …and distribution of quarterly invoices + Assess, implement and communicate critical information for maintenance of rebate system ; including, contract amendments ... drives every decision we make. **Job Posting Title** Rebate Analyst **Job Description** The Rebate Analyst is...all aspects of the contract from formulary compliance, to system capabilities to reconciliation and allocation of payments to… more
- Evolent (Harrisburg, PA)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
- AmeriHealth Caritas (Newtown Square, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... more about us at www.amerihealthcaritas.com . The **Provider Network Data Oversight Analyst ** performs the role of payment terms data source expert to support… more
- Highmark Health (Harrisburg, PA)
- …losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with ... + Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with… more
- AmeriHealth Caritas (Philadelphia, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... in the Philadelphia Tri-State area. ;** **Responsibilities:** The Financial Analyst supports all financial activities including annual budget planning, monitoring… more
- Highmark Health (Pittsburgh, PA)
- …and reporting + Utilize computer to input, retrieve or display accounting information . + Develop and maintain spreadsheets and databases. + Utilize PC and/or ... mainframe based systems and software, compile and prepare reports, graphs and...include MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager… more
- Highmark Health (Harrisburg, PA)
- …and reporting. + Utilize computer to input, retrieve or display accounting information . + Develop and maintain spreadsheets and databases. + Utilize PC and/or ... mainframe based systems and software, compiles and prepares reports, graphs and...include MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager… more
- Highmark Health (Harrisburg, PA)
- …Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology or Pharmacy or related field **Substitutions** + Bachelor's Degree in ... Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy **OR** related field with 2 years of relevant work… more
- Evolent (Harrisburg, PA)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... with health care lines of business and health care data including medical, pharmacy and ancillary claims data, membership data, clinical operational data (UM & CM),… more
- Penn Medicine (West Chester, PA)
- …loading a new medication. + Processes controlled substances from the C-II safe. Alerts system analyst of any discrepancies. Reviews pyxis C-II safe reports for ... off on the pharmacist training checklist. + Has a working knowledge of the pharmacy computer system . Participates in all instant inservices for new computer… more
- Guidehouse (Philadelphia, PA)
- …Have:** + Education: MS/MA in Statistics, Bioinformatics, Mathematics, Computer Science, Information Systems , Engineering, Economics, or a similar quantitative ... a Life Science Senior Consultant - Data Scientist / Analyst , you will: + Structure and execute comprehensive analytics...which include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care… more