- Corvel (Portland, OR)
- CorVel has proprietary software to provide claims , bill review and case management services to our customers. Both CorVel employees and customer users must be set up ... this area of our support model. The Jr. Business Analyst /User Subject Matter Expert performs diverse user and...expand knowledge base as technologies change. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: User Subject Matter… more
- Serve You Rx (Milwaukee, WI)
- …data. This is a remote position. What You'll Do: As the Business Analyst II , you will: Predict emerging customer needs and develop innovative solutions in ... Serve You Rx is in search of a Business Analyst II . The Business Analyst is...with a focus on leading/driving projects; previous experience in Pharmacy , Pharmacy Benefit Management, Healthcare, Claims… more
- State Of California (Sacramento, CA)
- …and analysis including monitoring, validating, and processing of medical and pharmacy claims payments, premium collections, payment remittances or ... hybrid work schedule, with up to two days of remote work and three days or more onsite, per...data analysis tools, preferably Excel. Knowledge of health insurance claims , CMS, and HIPPA. Skills: Attention to detail and… 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 utilization ... to manage various sources of information and large data sets including pharmacy , claims and encounter data + Proficiency in compiling data, creating reports and… 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...informed, objective assessment of the accuracy and legitimacy of claims audited. + Utilize personal knowledge of medications and… more
- Prime Therapeutics (Eagan, MN)
- …and assists with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess ... drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing...financial analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare,… more
- Prime Therapeutics (Montgomery, AL)
- …every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst ... STARS experience + Experience conducting complex analysis on large sets of pharmacy , claims , medical, and/or financial data + Intermediate SAS or SQL coding… more
- Prime Therapeutics (Indianapolis, IN)
- …passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... from direct and indirect leadership **Preferred Qualifications** + Previous Pharmacy Benefit Management (PBM) or healthcare experience with understanding of… more
- Molina Healthcare (Roswell, NM)
- …Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Molina Healthcare (ID)
- …+ Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy , Lab and HEDIS rates + Assists and collaborates with the ... **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… more
- Norstella (Salem, OR)
- Sr. Medical Analyst Company: MMIT Location: Remote , United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
- Evolent (Harrisburg, PA)
- …engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) - ... mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote ** Evolent is seeking a Senior … more
- Centene Corporation (Lansing, MI)
- …following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy , external reporting + Extract, load, model, and reconcile large amounts of ... visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Centene Corporation (Lincoln, NE)
- …including: data collection, validation and outcome measurement + May include: + Financial, pharmacy , claims , provider, and member data + IRS, CMS, HHSC, HEDIS ... to competitive benefits including a fresh perspective on workplace flexibility. Remote Available **Position Purpose:** Responsible for analytical data needs. Handle… more
