- Prime Therapeutics (Washington, DC)
- …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 (Washington, DC)
- **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
- Prime Therapeutics (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness… more
- Intermountain Health (Washington, DC)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... New York, Rhode Island, Vermont, and Washington._** The Principal analyst is responsible for providing overseeing technical support, configuration, integration,… more
- CVS Health (Washington, DC)
- …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... You will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not...standard and ad-hoc client and regulatory Prompt Pay and Pharmacy Payment Compliance reporting using SQL and SAS. You… more
- Elevance Health (Hanover, MD)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Prime Therapeutics (Washington, DC)
- …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
- Norstella (Washington, DC)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Oct 21, 2025 Employment Type: Full Time Job ID: R-1494 **Description** **Why ... patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare...degree (Master's or Doctorate) in Biostatistics, Epidemiology, Public Health, Pharmacy (PharmD), Medicine (MD/DO), or a related field. +… more
- Prime Therapeutics (Washington, DC)
- …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
- CVS Health (Annapolis, MD)
- …successfully managing pharmacy and professional liability Risk claims. The Risk Analyst will be responsible to handle all aspects of claim resolution, including ... liability claims against CVS throughout the United States. The Risk Analyst will collaborate with multiple internal departments, legal counsel, and field… more
- Baylor Scott & White Health (Washington, DC)
- + **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
- Cardinal Health (Washington, DC)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... who need them-faster.** **_Responsibilities_** The primary function of the Quality Assurance Analyst is to deliver high quality service through call monitoring of… more
- Cardinal Health (Washington, DC)
- …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
- Evolent (Washington, DC)
- …**What You'll Be Doing:** **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management tools to solve ... + Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data regarding health plan cost & use and make recommendations based… more
- Prime Therapeutics (Washington, DC)
- …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
- Prime Therapeutics (Washington, DC)
- …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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... risk score methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims, and provider data. Incumbent is responsible for performing… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key ... score methodology, risk score calculation, enrollment, submissions, premiums, medical and pharmacy claims, and provider data. Incumbent is responsible for performing… more