- Prime Therapeutics (Richmond, VA)
- …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 (Richmond, VA)
- **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
- Elevance Health (Norfolk, VA)
- ** Pharmacy Benefits Manager Pricing Strategy Analyst Manager** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The **PBM Pricing Strategy Analyst Manager** is responsible for Pharmacy Services...Pricing Strategy Analyst Manager** is responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support… more
- University of Virginia (Charlottesville, VA)
- …combination of programming and analytical skills to design and maintain the pharmacy Epic application system within the Health System. + Prepares detailed ... specifications from which the Pharmacy Epic program will be written. + Designs codes tests debug and document that program. + Competent to work on most phases of… more
- Elevance Health (Richmond, VA)
- **PBM Pricing Strategy Analyst Manager - CarelonRx (Specialty Pharmacy )** **Location:** This role requires associates to be in-office 1 - 2 days per week, ... and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **PBM Pricing Strategy Analyst ...lasting pharmacy care. The **PBM Pricing Strategy Analyst Manager** will be responsible for Pharmacy … more
- Prime Therapeutics (Richmond, VA)
- … 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
- Prime Therapeutics (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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
- Intermountain Health (Richmond, VA)
- …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 technical support, configuration, and maintenance… more
- Prime Therapeutics (Richmond, VA)
- …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 (Richmond, VA)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the… more
- Baylor Scott & White Health (Richmond, VA)
- + **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 (VA)
- …heart, each and every day. **Position Summary** As a Business Monitoring Operations Analyst , you will play a crucial role in overseeing and evaluating programs ... Tableau experience preferred + _1-3 years experience in a healthcare or pharmacy setting._ + _Understanding of health insurance and PBM operations._ **Education**… more
- Intermountain Health (Richmond, VA)
- …sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems and ... + Previous experience with Tredium adjudication system. + Previous experience in pharmacy setting or PBM experience. + Strong organizational, data gathering and data… more
- Prime Therapeutics (Richmond, VA)
- …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
- Prime Therapeutics (Richmond, VA)
- …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
- CVS Health (VA)
- …ensuring complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to ... Bachelor's degree preferred/specialized training/relevant professional qualification. **Preferred Qualifications** + Healthcare/ pharmacy industry experience and knowledge of pharmaceutical products. +… more
- WTW (Arlington, VA)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit ... services. Product-based solutions such as our pharmacy purchasing coalition round out our broad-based suite of offerings. **Explore an opportunity.** By joining… more