- Fairview Health Services (Minneapolis, MN)
- …Pharmacy Benefit Managers and Third-Party Health Plan Payers. As a member of the pharmacy team, the Contract Analyst manages and coordinates all financial ... problem solving and collaboration skills to support and manage pharmacy revenue management activities. The Contract Specialist...Review, research and respond to payor issues for ambulatory pharmacy service line + Maintain a database… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Pharmacy Analyst , 340B** will be responsible for ensuring 340B program compliance ... Audits will cover HMH's 340B mixed-use setting, retail, and contract pharmacy arrangements. The person in this...of 3 or more years of experience as a Pharmacy Technician, Buyer, Analyst or Auditor. +… more
- Highmark Health (Salem, OR)
- **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 ...Continuously monitor regulatory changes, legislative efforts, industry trends, and/or contract changes. + Provide consultation and analytic support to… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Pharmacy Purchasing and Operations Specialist/Acute Care** serves as a resource in the areas ... of the pharmacy supply chain, strategic purchasing, and their interdependent impacts...financial success. Areas of focus include pharmaceutical purchasing, vendor contract agreements, price parity analysis, credit/ rebill process, and… more
- AmeriHealth Caritas (Detroit, MI)
- …We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services , behavioral health services , and other ... Manager of Provider Network Management in dealings with provider agreements.; The Contract Management Analyst will assist the Manager, Provider Network… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Responsible for creating and managing facility and/or physician contract models for Henry Ford Health System entities using EPIC contract ... DUTIES AND RESPONSIBILITIES: 1. Responsible for building basic payer/plan-specific contract terms, including common reimbursement methodologies. 2. Achieve high… more
- WMCHealth (Valhalla, NY)
- …compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the implementation of new software ... present audit findings and corrective action plans to the 340B Steering Committee. + Contract Pharmacy & Cost-Saving Initiatives + Evaluate contract … more
- Mount Sinai Health System (New York, NY)
- … Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all facility amendments, procuring all financial data necessary ... Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage… more
- Walgreens (Deerfield, IL)
- …day communication with clients, conducting program reviews, assisting clients through contract pharmacy audits, delivering program efficiency and optimization ... marketability of the 340B program. + Maintains knowledge of the healthcare and pharmacy services industry, continually, and uses that knowledge to identify ways… more
- Walgreens (Deerfield, IL)
- …teams than ever before. Walgreens Specialty Pharmacy provides critical care and pharmacy services to millions of patients with rare disease states and ... providers, and is committed to being the first choice for retail pharmacy and health services , building trusted relationships that create healthier futures… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims, pharmacy , clinical, contract , medical management, financial, administrative and ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...and Commercialization May assist in the modeling and forecasting contract scenarios, measuring ongoing performance and identify trends in… more
- Prime Therapeutics (Jackson, MS)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... + Recommend new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target… more
- The Cigna Group (Nashville, TN)
- …Auditor, Senior Analyst . In this critical role, you'll audit all contract details loaded into our claims systems, ensuring the highest standards of accuracy ... **Quality Assurance Claims Systems Auditor, Senior Analyst ** Are you passionate about driving growth and...Services , a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- The Cigna Group (St. Louis, MO)
- …Evernorth Health Services , a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. We relentlessly ... Product Management Lead Analyst - Centene Operations Management We value our...Marketplace (Exchange / Health Care Reform). The team supports Pharmacy Benefit Management (PBM) delegated responsibilities associated with regulatory… more
- Walgreens (Deerfield, IL)
- …a critical role in the US healthcare system by providing a wide range of pharmacy and healthcare services , including those that drive equitable access to care ... coordinateswith internal teams or external agencies as needed, including managed service providers. + Develops and executes security controls, defenses and… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Rebate Analyst **Job Description** The Rebate Analyst is responsible for interpreting small ... intermediate pharmaceutical manufacturer contracts. This includes all aspects of the contract from formulary compliance, to system capabilities to reconciliation and… more
- Walgreens (Deerfield, IL)
- …teams than ever before. Walgreens Specialty Pharmacy provides critical care and pharmacy services to millions of patients with rare disease states and ... has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first...is committed to being the first choice for retail pharmacy and health services , building trusted relationships… more
- AmeriHealth Caritas (Newtown Square, PA)
- …We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services , behavioral health services , and other ... of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate… more
- The Cigna Group (St. Louis, MO)
- …Evernorth Health Services , a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. We relentlessly ... **POSITION SUMMARY** The **Financial Analysis Lead Analyst , Client Analysis & Consultation** position works in...leadership and clients. + On-going management of a client's contract to ensure compliance with financial terms. + Participate… more
- The Cigna Group (St. Louis, MO)
- …Evernorth Health Services , a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. We relentlessly ... **POSITION SUMMARY** The **Senior Financial Analyst ** (Pricing Setup Liaison) will develop and provide...is critical to ensure we meet the financial and service commitments we've provided to our clients and customers.… more