- CVS Health (Scottsdale, AZ)
- …quality control compliance for pharmacy provider enrollment; pharmacy provider credentialing and contract audit sampling fulfillment; and ... to make health care more personal, convenient and affordable. Position Summary The Pharmacy Network Quality Control Analyst position is responsible for the… more
- Truman Medical Centers (Kansas City, MO)
- …myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Information Security Analyst - Audit and Compliance (Onsite & ... **Job Location** Crown Center, Truman Support Center Kansas City, Missouri **Department** Audit and Compliance **Position Type** Full time **Work Schedule**… more
- CVS Health (Cumberland, RI)
- …care more personal, convenient and affordable. Position Summary CVS Health Internal Audit Department provides high quality services to our internal business partners ... solutions. We continuously look for ways to improve our audit processes and leverage technology to provide value in...of the SOX & Controls Assurance (SCA) Team, the Analyst of the SCA Team will perform execution of… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Credentialing Analyst - Remote **Job Description** The Credentialing ... requirements + Ensure timely resolution of escalated credentialing issues and client audit requests + Provide telephonic education to pharmacy providers on… more
- Froedtert South (Pleasant Prairie, WI)
- …+ Experience in hospital or retail pharmacy , pharmacy operations, audit , inventory management, healthcare compliance , or a related field is preferred. + ... Pharmacy 340B Analyst Froedtert South Pleasant...Details POSITION PURPOSE + Responsible for ensuring 340B program compliance by conducting routine self-audits, assist pharmacy … more
- Publix (Lakeland, FL)
- **28100BR** **Position Title:** Principal Business Systems Analyst - Pharmacy Central Fill (REMOTE) **Department:** Publix Technology **Location:** Lakeland, FL ... Fortune Magazine's Best Companies to Work list. Join the Pharmacy Central Fill team! As a Principal Business Systems...uncover areas for improvement + Partner with Architecture, Security, Compliance , and Internal Audit to design compliant,… more
- Elevance Health (Atlanta, GA)
- …and experience which would provide an equivalent background. **Preferred Qualifications:** + Pharmacy Claims Audit Strongly preferred + PBM ( Pharmacy ... + Reviews and Audits Pharmaceutical claims processed by vendors to ensure proper compliance + Conducting Data analysis and issue resolution regularly + Acts as a… more
- Xcel Energy (Minneapolis, MN)
- …could be just what you're looking for. **Position Summary** The Solution Analyst is responsible for requirements management and QA activities for solution delivery ... support delivery methodology protocol for risk management, status reporting, governance/ compliance , QA and other activities. **Essential Responsibilities** + Analysis:… more
- Children's Hospital Boston (Boston, MA)
- 75013BRJob Posting Title:340B Pharmacy Program AnalystDepartment:Patient Services-PharmacyAutoReqId:75013BRStatus:Full-TimeStandard Hours per Week:40 Job Posting ... Category:PharmacyJob Posting Description:Job Description General Summary Ensures compliance with 340B program requirements for qualified patients, patient location,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …required to achieve the position's objectives and be successful in the Sr. Contract Compliance Analyst role: * Establishes audit plan to review top ... Sr. Contract Compliance Analyst III Date: May 16,...and data analytics, the incumbent will complete complex investigational audit reviews, identify risks and compliance issues… more
- Nuvance Health (Danbury, CT)
- …Now Save Job Saved **Description** Summary The Pharmacy 340B program integrity analyst is responsible for maintenance, compliance , and operations of the 340B ... liaison to key stakeholders (ie, finance, revenue cycle representatives, pharmacy leadership) to help maintain compliance and... and optimal utilization of our 340B enrollment. The Pharmacy 340B program integrity analyst will evaluate… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- … with departmental and corporate expectations. + Assists Lead Health Data Analyst on Pharmacy Department Budget annual financial estimates and periodic ... audit questions and demands, including annual MAR Audit process. + Leads the Pharmacy Department's...in compliance with rebate contracts and in compliance with BCBSLA corporate policies. + Supports Pharmacy… more
- Deschutes County (Bend, OR)
- …by policy and approved by the supervisor. Key Responsibilities: + Performs internal audit tasks and compliance reviews, and assists with external audits and ... Quality Analyst , Health Services (Medical Coding) (Part-time) Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/4502378) Apply Quality … more
- AbbVie (Barceloneta, PR)
- …controls to the referral management, call center and fulfillment operations + Monitors compliance with all AbbVie and Pharmacy Solutions policies and procedures ... Facebook, Instagram, YouTube and LinkedIn. Job Description The QA Analyst position supports the activities and initiatives of the...+ Conduct internal audits on the business functions of Pharmacy Solutions and Supports external audit logistics… more
- The Cigna Group (Franklin, TN)
- …is responsible for facilitating the timely resolution of issues impacting regulatory compliance , client/regulator CAPs and audit findings remediation for the ... Compliance and/or Account Team as needed - Coordinates audit finding remediation activity w/ audit process -...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- McLaren Health Care (Grand Blanc, MI)
- …analyzes purchasing data, and monitors ordering processes and documentation related to pharmacy supply chain compliance with state and federal regulations. ... identify risk and prevent duplicate discounts and diversion. 2. Maintains HRSA/OPA audit readiness at all times. 3. Monitors purchasing patterns of contract… more
- CVS Health (Tallahassee, FL)
- …care more personal, convenient and affordable. Job Purpose and Summary: As an Audit and Testing Program manager, you will provide technical, analytical, and business ... audits and adequately communicate implications to ensure a successful audit experience for our clients. Your ability to research...You will be required to speak to Med D compliance and reporting documentation associated with our clinical programs.… more
- WTW (New York, NY)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit ... the program, successful graduates will be placed in an Analyst or Associate position within H&B. The program offers...etc. + Gain specialized knowledge in areas such as pharmacy , life and disability insurance, health equity and wellbeing,… more
- CareOregon (Portland, OR)
- …must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager Title Risk Adjustment Manager ... residing in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process for the end-to-end Encounter Data Processing System (EDPS)… more
- CVS Health (Phoenix, AZ)
- …Receivable Operations, Sales, Underwriting, Contracts and Pricing, Finance, Accounting, Vendors, Compliance , Audit , and Executive Leadership. It will leverage ... convenient and affordable. Position Summary CVS Health is currently hiring a Senior Analyst to join our Coram Revenue Cycle Analytics Team. In this position, you… more