- 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
- CVS Health (Phoenix, AZ)
- …get well, but help them stay well in body, mind and spirit. The Claims Analyst is responsible for reviewing pharmacy claims submitted through the CVS Health ... claims processing systems. The Claims Analyst will identify and rectify claim inaccuracies that would...also offer ten paid holidays. Required Qualifications - Retail pharmacy experience preferred (Valid Pharmacy Technician License… 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
- CVS Health (Phoenix, AZ)
- …You will be critical to the continued success of CVS Health as the leading pharmacy benefits manager (PBM). As an analyst , you will: - Manage pricing operations ... There is no better place than within Underwriting as a Pricing Operations Analyst in our Client Financial Analysis and Optimization department. This is a strategic… 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
- CVS Health (Phoenix, AZ)
- …currently looking for a dynamic individual to join our team in a Senior Analyst role. This position will primarily work with internal rebate and legal teams ... gathering and redacting rebate manufacturer contracts. The Senior Analyst is responsible for coordinating, managing, tracking, reviewing, researching, and redacting… 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 (Scottsdale, 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)
- …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 (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)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... enterprise operations teams using a variety of platforms. We service medical, pharmacy , sales, product and call center support models across the CVS enterprise.… 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 (Scottsdale, 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 (Scottsdale, 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