- TEKsystems (Minneapolis, MN)
- …benefit plans) will help them in this role. Skills Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst , Audit, support, analysis, ... Medical Terminology Top Skills Details Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Prime Therapeutics (Boise, ID)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury ... responsible for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government… more
- Prime Therapeutics (Jackson, MS)
- …+ Recommend new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin ... decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior...+ Interpret financial performance reports to monitor performance against pharmacy claims data and identify financial pricing… more
- Prime Therapeutics (Lansing, MI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data Analyst provides ... as PMPM, generic utilization) + Experience working with large sets of pharmacy , claims , medical, and/or financial data + Previous experience in a client facing… 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
- Parkview North Hospital (Fort Wayne, IN)
- …for the Employee Health Plan and Signature Care. Utilizing industry knowledge of medical and pharmacy claims data, medical and pharmacy benefits, as well as ... a Hybrid position which requires you to be 75% Remote and 25% Onsite. Summary As part of the...As part of the HPS Team, the Health Plan Analyst assumes the responsibility for the development and maintenance… more
- Trinity Health (Columbus, OH)
- …+ Under general supervision, performs research and analysis of complex health care claims , pharmacy , and lab data regarding network utilization and cost ... relations and more. **About the job:** Senior Decision Support Analyst for the Health Plan works with in conjunction...to established timelines. + Knowledge of health plan operations ( claims , revenue, or risk adjustment) preferred. + Advanced MS… 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
- Molina Healthcare (San Diego, CA)
- …+ Develop 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 Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and… more
- Sleep Number (Minneapolis, MN)
- …Job Summary Sleep Number's Legal and Risk team is seeking an experienced Legal Analyst to join their team. The ideal candidate has experience as a paralegal, the ... responding to attorney general complaints, legal demand letters, and small claims matters, supporting litigation document requests for information, subpoenas or… more
- Omnicell (Fort Worth, TX)
- **Job Title: Medical Billing Analyst ** **Location: Fort Worth, TX (Hybrid)** **This is a hybrid position based in Fort Worth, TX. Employees are expected to work ... systems, workflows, and team collaboration.** **Position Summary:** The **Medical Billing Analyst ** plays a key role in delivering top-tier medical billing services… more
- AmeriHealth Caritas (Philadelphia, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... www.amerihealthcaritas.com We seek an experienced, passionate, and highly motivated WFM Business Analyst (BA) to join our Workforce Management Team. This consists of… more
- Evolent (Tallahassee, FL)
- …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
- SSM Health (OK)
- …Affairs (OPA) database changes and updates. + Monitors and audits state Medicaid claims to ensure compliance. + Reconciles contract pharmacy payments against ... **It's more than a career, it's a calling.** OK- REMOTE **Worker Type:** Regular **Job Summary:** Development and...Performs recurring internal audits and oversight of 340B contract pharmacy programs, inpatient pharmacy programs, child sites… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …pricing accuracy to maintain the highest level of profitability. Working with the Pharmacy Business Analyst to develop reporting as needed to gain efficiencies ... gross margin according to plan. This is not a remote opportunity and will be in office only. **Responsibilities**...and improve profitability. + Responsible for monitoring and sending claims via the AWP resubmission tool and analysis reporting… more