- Prime Therapeutics (Des Moines, IA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Trade Relations Analyst Sr - Remote **Job Description** The Senior Trade ... Relations Analyst is responsible for performing multifaceted financial analyses to...code + Represent the Trade Relations department at client Pharmacy and Therapeutic Review meetings and participate in corporate… more
- Highmark Health (Des Moines, IA)
- **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
- Trinity Health (Des Moines, IA)
- …positions to expand the 340B program across the state. These positions will be Sr. Pharmacy Data Analyst , 340B Senior Analyst , and 340B Program Coordinator. ... role is to ensure compliance and optimization of the pharmacy 340B program while leading the work of a...PURPOSE** Assesses the data development and collection needs of pharmacy departments. Coordinates the collection of and/or abstract clinical,… more
- Prime Therapeutics (Des Moines, IA)
- … Analyst - Remote **Job Description** The Recovery & Resolution Analyst is responsible for recovering inappropriate pharmacy payments related billing ... systems for recoupment of audits and investigations performed by the Pharmacy Audit Operations and Special Investigations Unit (SIU) teams. **Responsibilities** +… more
- Prime Therapeutics (Des Moines, IA)
- …passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst with ... to grow your career in the IT AI space.** The Sr. IT Business Systems Analyst (BSA) is responsible for serving as a key role solving highly complex system problems… more
- Prime Therapeutics (Des Moines, IA)
- …our passion and drives every decision we make. **Job Posting Title** QA Analyst PBM Implementation - Remote **Job Description** The Quality Assurance (QA) Analyst ... years of experience within Claims Processing, Audit, Quality or Pharmacy + Must be eligible to work in the...experience in Clinical Review + If position sits within Pharmacy Audit department, the following qualifications are also required:… more
- Prime Therapeutics (Des Moines, IA)
- …decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery Program Claims ... Analyst is responsible for serving as a subject matter expert on our Home Delivery and Specialty pharmacy partners and Pharmacy Match product which may… more
- Prime Therapeutics (Des Moines, IA)
- …passion and drives every decision we make. **Job Posting Title** Senior Forecast Analyst - REMOTE **Job Description** The Senior Forecast Analyst is responsible ... of experience in detailed analytical work in financial, insurance, pharmacy benefits management, reporting & analytics, benefits consulting healthcare industries… more
- Intermountain Health (Des Moines, IA)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... scheduling, time and attendance, customer relationship management) + The staff Analyst is responsible for providing technical support, configuration, and maintenance… more
- Prime Therapeutics (Des Moines, IA)
- …and drives every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data & Reporting Analyst ... and modeling + PBM experience or experience working with medical claims, pharmacy claims, healthcare and/or benefits data + Experience in the implementation of… more
- Molina Healthcare (Des Moines, IA)
- …**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
- Prime Therapeutics (Des Moines, IA)
- …and drives every decision we make. **Job Posting Title** Performance Guarantee Analyst Sr - Remote **Job Description** The Senior Performance Guarantee Analyst ... managing end-to-end projects related to quality metrics and/or performance + Pharmacy Benefit Management (PBM) or healthcare industry experience Must be eligible… more
- Prime Therapeutics (Des Moines, IA)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst assists in ... and regulatory issues that impact Prime's compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions… more
- Baylor Scott & White Health (Des Moines, IA)
- + **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
- Prime Therapeutics (Des Moines, IA)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more
- Molina Healthcare (Des Moines, IA)
- **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 (Des Moines, IA)
- **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
- Prime Therapeutics (Des Moines, IA)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more
- UnityPoint Health (Des Moines, IA)
- + Area of Interest: Management + FTE/Hours per pay period: 1.0 + Department: Pharmacy - Luth + Shift: primarily days + Job ID: 171106 Overview Successfully functions ... a Pharmacist as defined by the Iowa Board of Pharmacy Examiners. Assists the Pharmacy Manager in...FDA, DEA and other accrediting/regulatory agencies. Assists the inventory analyst in managing inventory, formulary and drug shortages. Involved… more
- Molina Healthcare (Des Moines, IA)
- …**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