- EmblemHealth (New York, NY)
- …required Experience working with healthcare data including but not limited to claims , testing results and pharmacy data required Strong communication ... and to provide insightful commentary and sensitivity modeling analysis. Develop data -driven analysis for decision making on how EmblemHealth purchases, manages, and… more
- Tekfortune (Atlanta, GA)
- JD - Data Center Operations Analyst Client Spares Readiness team (part of Data Center Central Operations) is seeking Ops Analyst to support their data ... accuracy efforts for the following workstreams: ? Spare Parts Data Governance ? New Zone Turnup ? NPI Spares...to establish expected inventory levels by hub, spoke, and pharmacy locations ? PO and stocking reporting by site… more
- Lumen Solutions Group, Inc. (Reston, VA)
- …and fee agreements into financial forecasts to evaluate overall contract value. Analyze pharmacy claims data , utilization trends , and pricing shifts ... the Role: We are looking for a Senior Financial Analyst - Pharmacy SME to lead strategic...and benefit forecasting Hands-on experience with financial modeling , pharmacy claims data , and… more
- County of Los Angeles, CA (Los Angeles, CA)
- …and/or other special instructions written by the provider. Enters patient and prescription data into pharmacy computer system to generate labels and collates ... for will perform a variety of technical and support pharmacy services in a hospital pharmacy , licensed...inspect orders received, and to complete transactions and receive data . Assists a licensed pharmacist in packaging and repackaging… more
- Goldbelt, Inc. (Frederick, MD)
- …support from junior staff to high-level subject matter experts. Research and data driven, Goldbelt Professional Services' experts create solutions customized to the ... existing products and provide review, comments and approval of all product claims for technical accuracy and regulatory compliance. Represent the regulatory team,… more
- CVS Health (Woonsocket, RI)
- …assignments + Experience in documenting IT requirements and summarization + Experience with administrative claims data such as pharmacy or medical claims ... assist in new product development, create business cases from data driven strategic decision making to identify revenue risk...actions **Required Qualifications** + 2+ years of experience with pharmacy claims adjudication and NCPDP standards +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as... data from Epic, QS1, Oracle Cloud, 340B claims data , and wholesaler purchase feeds. + ... Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact data analysis, reporting, and automation to improve pharmacy financial… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy ... addressing inquiries, resolving issues, and providing accurate information regarding prescription claims data and accumulator overages. + Maintains electronic… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... as needed + Ability to manage various sources of information and large data sets including pharmacy , claims and encounter data + Proficiency in compiling… more
- The Cigna Group (Bloomfield, CT)
- **POSITION SUMMARY:** The Quality Review and Pharmacy Technician Audit Lead Analyst is responsible to identify pharmacy audit risks using analytical skills ... metro area and must be willing to travel for pharmacy audits up to 50% of the time. **ESSENTIAL...Performance of audits includes obtaining, analyzing, and appraising evidentiary data on which to base an informed, objective assessment… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst III is a...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …+ Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst II collaborates with...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Ascendis Pharma (Princeton, NJ)
- …Requirements What you bring + Experience - 5+ years as Business/ Data Analyst (ideally in either pharma, biotech, specialty pharmacy or similarly regulated, ... across our commercial organisation, we are hiring a Business Analyst who blends deep data analysis expertise... Analysis + Consolidate and patient Support Program, Specialty Pharmacy , claims and financial data … more
- Centene Corporation (Lansing, MI)
- …all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, pharmacy , external reporting + Extract, load, model, ... a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects… more
- WMCHealth (Valhalla, NY)
- …accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the implementation ... contract pharmacy relationships, including contract language, fee structures, and data setup, ensuring compliance with 340B requirements. + + Assess cost-saving… more
- Prime Therapeutics (Eagan, MN)
- …and assists with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to ... including data extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify and mitigate financial… more
- Seattle Children's (WA)
- …decision-making through data -driven insights and performance tracking. The analyst also oversees pharmacy -related contracting activities, including financial ... The Pharmacy Financial Analyst leads critical financial...analysis and financial reporting. Knowledge of Epic Willow and pharmacy claims processing. Epic certified in modules… more
- CVS Health (Woonsocket, RI)
- …implementing this newly defined process. With respect to analytical research, this Claims Analyst would work with service requesters to understand the ... a focus on adjudication or benefit knowledge + PBM experience and knowledge; Pharmacy claims adjudication + Experience preparing reports and displaying data… more
- Centene Corporation (Lincoln, NE)
- …including: data collection, validation and outcome measurement + May include: + Financial, pharmacy , claims , provider, and member data + IRS, CMS, HHSC, ... on workplace flexibility. Remote Available **Position Purpose:** Responsible for analytical data needs. Handle complex data requests, reports, and predictive… more
- CVS Health (Scottsdale, AZ)
- … data received from external vendors and used in support of prescription claims processing. Various data is received at various intervals (ie daily, weekly, ... monthly) from multiple vendors. Thorough analysis of the data is performed on a daily basis for purposes of validating its accuracy. As issues are identified, the… more
