- Highmark Health (Olympia, WA)
- **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
- Seattle Children's (WA)
- The Pharmacy Financial Analyst leads critical financial and operational initiatives to optimize the performance of the organization's pharmacy services, with ... strategic decision-making through data-driven insights and performance tracking. The analyst also oversees pharmacy -related contracting activities, including… more
- University of Washington (Seattle, WA)
- …The Clinical Trials Office has an outstanding opportunity for a Clinical Research Budget Analyst (Budget Analyst ). Reporting to the CTO Manager of Trial Start-up ... and Special Projects, the Budget Analyst position is responsible for developing and negotiating budgets...documents, including the research study budget, contract, informed consent, pharmacy and lab manuals, and other supporting documentation. +… more
- CVS Health (Olympia, WA)
- …successfully managing pharmacy and professional liability Risk claims. The Risk Analyst will be responsible to handle all aspects of claim resolution, including ... liability claims against CVS throughout the United States. The Risk Analyst will collaborate with multiple internal departments, legal counsel, and field… more
- Molina Healthcare (Bellevue, WA)
- …**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
- Providence (WA)
- **Description** **Senior Actuarial Analyst \*Remote The Senior Actuarial Analyst will support key savings initiatives, cost management strategies, and predictive ... management strategies. + Perform cost and utilization trend analyses across medical, pharmacy , and ancillary services. + Build and maintain predictive models to… more
- Baylor Scott & White Health (Olympia, WA)
- + **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
- Evolent (Olympia, WA)
- …**What You'll Be Doing:** **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management tools to solve ... + Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data regarding health plan cost & use and make recommendations based… 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
- Microsoft Corporation (Redmond, WA)
- …join us on this journey. As a Precision Health Innovation Market Analyst , you will partner with technical program managers, innovation strategists, researchers, ... letter. **Preferred Qualifications** + Bachelor's Degree in Business, Economics, Pharmacy , Biology/Biotechnology, Biomedical Sciences, Health Sciences, or related field.… more
- Molina Healthcare (WA)
- **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 (Everett, WA)
- **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
- Molina Healthcare (Tacoma, WA)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote… more
- Molina Healthcare (Tacoma, WA)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the… more
- Providence (WA)
- …Actuarial, Network, Strategic Accounts, Compliance and Regulatory Finance, IS, Pharmacy , and agencies outside the organization (the State, CMS). **Essential ... functions** : + Meets regularly with Risk Adjustment leadership and staff to establish reporting and analytics priorities, secure resources for required work, establish timelines for successful delivery, and execute on agreed-upon goals. + Provides deep… more
- CVS Health (Olympia, WA)
- …it all with heart, each and every day. **Position Summary** The Specialty Pharmacy Off-Phone Audit Manager leads the internal audit function for CVS Specialty's ... to develop and implement the annual audit plan for pharmacy task functions including intake, benefits verification, order scheduling,...Ability to be a mentor to less experienced Business Analyst and team members to drive compliance for best… more