- Highmark Health (Olympia, WA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Programs business owners, stakeholders and other management, as required, to ... achieve Pharmacy Programs growth objectives. Organize and coordinate Pharmacy Programs activities to focus on the successful delivery of desired results. Monitor… more
- Amazon (Seattle, WA)
- …team works with the business team to make this vision a reality. Our Pharmacy Operations Finance Team is dedicated to working closely with operational leadership to ... and long term financial and strategic plans for Amazon Pharmacy . Have dreams of working in a start-up environment?...for a strategic and operationally-minded leader to join our Pharmacy Operations Finance Team, who is not afraid of… more
- Cardinal Health (Olympia, WA)
- …requirements from multiple internal and external clients and stakeholders, such as pharmacy operations, access and patient support, etc + Able to deliver ... experience, preferred + 8-12 years of experience, preferred + 5+ years of pharmacy systems experience + Experience within specialty pharmacy desired + Experience… more
- Highmark Health (Olympia, WA)
- …:** **JOB SUMMARY** Support leadership of Highmark, or its affiliates with a range of strategy activities essential to Highmark's membership and margin goals. ... Strategy Analysts provide analytical/strategic-thinking and leadership support that enables project teams to: 1) isolate business issues; 2) help design and execute analytics for studying business issues (market research, scenario planning, forecasting, market… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Actuarial Analyst I_** The ** Analyst I - Actuarial** supports actuarial ... benefits, provider reimbursement, stop loss, health management, disease management, pharmacy programs, premium rates, reserves, and administrative costs. + Monitor… more
- Evolent (Olympia, WA)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) - Preferred +… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …we serve through our Healthsource blog: https://healthsource.premera.com/ . As an **Actuarial Analyst III** , you will be responsible for the oversight of assigned ... administrative costs, as required. + Conduct peer reviews of technical work of analyst team. + Monitor and review analytical data from various departments, for… more
- Cardinal Health (Olympia, WA)
- …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
- BrightSpring Health Services (Bellingham, WA)
- …Degree in Psychology, Counseling, or related discipline. Board Certified Behavior Analyst (BCBA) certification is required. * Computer Skills/Data Entry: Must be ... for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training… more
- Molina Healthcare (WA)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... 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
- Premera Blue Cross (Mountlake Terrace, WA)
- …we serve through our Healthsource blog: https://healthsource.premera.com/ . As an **Actuarial Analyst II** , you will support actuarial analyses including but not ... benefits, provider reimbursement, stop loss, health management, disease management, pharmacy programs, premium rates, reserves, and administrative costs. + Monitor… more
- Highmark Health (Olympia, WA)
- …+ Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with ... **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively. +… more
- Highmark Health (Olympia, WA)
- …computer applications to include MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager (PBM), consultant, ... pharmacy provider, or another organization specializing in pharmacy **Skills** + Strong written and oral communication skills + Strong relationship building… more
- CVS Health (Olympia, WA)
- …to join CVS Health, a Fortune 6 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, ... retention + Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and… more
- Evolent (Olympia, WA)
- …+ Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings. + Extract, manage, ... and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree, preferably with a quantitative major (eg actuarial, statistics,… more
- Evolent (Olympia, WA)
- …with health care lines of business and health care data including medical, pharmacy and ancillary claims data, membership data, clinical operational data (UM & CM), ... or other healthcare data-Required. * Understanding of analytical needs, what is feasible, and what isn't feasible given data limitations * Understanding of data systems and the critical thinking skills to account for data design / architecture changes *… more
- Cardinal Health (Olympia, WA)
- …markets share. + Form long standing customer relationships with Pharmacists and Pharmacy Technicians + Convert existing and potential customers' use of targeted ... products and ensure sustained and expanded sales of these products. + Identify market intelligence on competitive activity, communicate to appropriate internal resources in a timely manner; develop and implement sales plans to meet business goals. + Create and… more
- CenterWell (Olympia, WA)
- …Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Cardinal Health (Olympia, WA)
- …**_Department/Team Overview_** We are looking for a Data Scientist, Operations Research Analyst to join our Decision Science Solutions (DS2) team. Our mission is ... to improve our pharmaceutical supply chain's performance to better service our pharmacy customers, so that they can focus on their patients. The DS2 team consists of… more