- Highmark Health (Dover, DE)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Programs business owners, stakeholders and other management, as required, to ... achieve Pharmacy Programs growth objectives. Organize and coordinate Pharmacy Programs activities to focus on the successful delivery of desired results. Monitor… more
- Cardinal Health (Dover, DE)
- …requirements from multiple internal and external clients and stakeholders, such as pharmacy operations, access and patient support, etc + Able to deliver ... experience, preferred + 8-12 years of experience, preferred + 5+ years of pharmacy systems experience + Experience within specialty pharmacy desired + Experience… more
- Highmark Health (Dover, DE)
- …:** **JOB SUMMARY** Support leadership of Highmark, or its affiliates with a range of strategy activities essential to Highmark's membership and margin goals. ... Strategy Analysts provide analytical/strategic-thinking and leadership support that enables project teams to: 1) isolate business issues; 2) help design and execute analytics for studying business issues (market research, scenario planning, forecasting, market… more
- Evolent (Dover, DE)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) - Preferred +… more
- Cardinal Health (Dover, DE)
- …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
- Highmark Health (Dover, DE)
- …+ Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with ... **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively. +… more
- Highmark Health (Dover, DE)
- …computer applications to include MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager (PBM), consultant, ... pharmacy provider, or another organization specializing in pharmacy **Skills** + Strong written and oral communication skills + Strong relationship building… more
- CVS Health (Dover, DE)
- …to join CVS Health, a Fortune 6 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, ... retention + Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and… more
- Evolent (Dover, DE)
- …+ Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings. + Extract, manage, ... and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree, preferably with a quantitative major (eg actuarial, statistics,… more
- Evolent (Dover, DE)
- …with health care lines of business and health care data including medical, pharmacy and ancillary claims data, membership data, clinical operational data (UM & CM), ... or other healthcare data-Required. * Understanding of analytical needs, what is feasible, and what isn't feasible given data limitations * Understanding of data systems and the critical thinking skills to account for data design / architecture changes *… more
- Cardinal Health (Dover, DE)
- …markets share. + Form long standing customer relationships with Pharmacists and Pharmacy Technicians + Convert existing and potential customers' use of targeted ... products and ensure sustained and expanded sales of these products. + Identify market intelligence on competitive activity, communicate to appropriate internal resources in a timely manner; develop and implement sales plans to meet business goals. + Create and… more
- CenterWell (Dover, DE)
- …Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Cardinal Health (Dover, DE)
- …**_Department/Team Overview_** We are looking for a Data Scientist, Operations Research Analyst to join our Decision Science Solutions (DS2) team. Our mission is ... to improve our pharmaceutical supply chain's performance to better service our pharmacy customers, so that they can focus on their patients. The DS2 team consists of… more