- Elevance Health (Tampa, FL)
- ** Pharmacy Data Claims Analyst & Insights (Business Analyst II)** _Location: This position will work a hybrid model (1-2 days/week in office). The ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacy Data Claims Analyst & Insights (Business Analyst … more
- Publix (Lakeland, FL)
- **30415BR** **Position Title:** Pharmacy Quality Related Event Analyst , Customer Claims - Risk Mgmt **Department:** Risk Management **Location:** Lakeland, ... if an event should be escalated to a Customer Claims Unit (CCU) adjuster, + data entry... system and QRE database, and + referring asserted pharmacy claims to CCU adjusters by early… more
- Kelly Services (Titusville, NJ)
- …here to make it a whole lot easier for you. We're seeking a **Pharmaceutical Claims Analyst ** to work at a premier pharmaceutical manufacturer in Titusville, NJ ... experience Why you should apply to be a **Pharmaceutical Claims Analyst ** : * Competitive salary and...PowerBi and Excel knowledge. * Have knowledge of the pharmacy claims process and fraud investigations (a… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... WBA Walgreens (www.walgreens.com) is included in the US Retail Pharmacy and US Healthcare segments of Walgreens Boots Alliance,...claims system. + Experience with analyzing and reporting data in order to identify issues, trends, or exceptions… more
- The Cigna Group (Bloomfield, CT)
- …with AS400, MC400, McNet and RC3 systems required + 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, ... a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ....Partner with technology and analytics teams to develop new data sources for reporting and act + as liaison… more
- The Cigna Group (Bloomfield, CT)
- …experience with MC400, McNet and RC3 systems Preferred + 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, ... a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly...Partner with technology and analytics teams to develop new data sources for reporting and act as liaison between… more
- Prime Therapeutics (Columbus, OH)
- …of work experience in data analysis, including 2 years of experience working with claims data or systems + Must be eligible to work in the United States ... It fuels our passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr. **Job Description** The Senior Claims Technical… more
- The Cigna Group (Bloomfield, CT)
- …facing communication and presentation skills, strongly preferred + Knowledge of industry standard claims data types (837, 835, 277, 999) and editing rules (ICD, ... a division of the Cigna Group is hiring a Claims System Configuration Lead Analyst . This highly...data file mapping (such as provider, member, auths, claims , etc.) + Design solutions for billing rule, benefits… more
- The Cigna Group (Bloomfield, CT)
- …within The Cigna Group is hiring an EDI - Claims Support Senior Analyst . For this highly specialized, Electronic Data Exchange configuration / mapping role, ... independently monitor, assist, research, and troubleshoot business to business Electronic Data Interchange (EDI) claims system inquires, including the following:… more
- State of Michigan (Lansing, MI)
- Departmental Analyst 12 - BPHASA - - Pharmacy ...data warehouse). This individual is responsible for analyzing pharmacy claims data to evaluate the ... position functions as the recognized resource responsible for the Department's pharmacy and rebate data interfaces and pharmacy data quality oversight (… more
- Conduent (Elkridge, MD)
- …part of a culture where individuality is noticed and valued every day. As the ** Claims Quality Assurance Analyst ** , you will be responsible for monitoring and ... access to all internal systems, conducting various audits related to claims , systems, business, and project requirement rules. **Responsibilities:** + Monitoring and… more
- Meijer (Grand Rapids, MI)
- … Analyst researches, analyzes, corrects and resolves exceptions regarding the status of pharmacy claims . . **What You'll be Doing:** + Performs research and ... review the job profile below and apply today! The Pharmacy Receivables Analyst works both independently and...analysis on aged pharmacy claims , this includes evaluating trends and… more
- CareOregon (Portland, OR)
- …Skills and Abilities + Skilled in at least one healthcare data domain (eg, medical claims , pharmacy claims , dental claims , clinical data , etc.) + ... Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Data Science Analyst III Exemption Status Exempt... products to facilitate production of insights from healthcare claims , enrollment, and other related data . The… more
- CareOregon (Portland, OR)
- …or Public Health + Experience with at least one healthcare data domain (eg, medical claims , pharmacy claims , dental claims , clinical data , etc.) ... Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Data Science Analyst II Exemption Status Exempt... products to facilitate production of insights from healthcare claims , enrollment, and other related data . The… more
- AssistRx (Orlando, FL)
- … data that will be presented to internal teams, clients and partners. The Data Analyst leads the onboarding of electronic data trading partners and ... The Data Quality Analyst is responsible for...quality issues. Successful applicants will have experience with Excel Pharmacy Claims experience is a huge plus… more
- Insight Global (St. Louis, MO)
- …Description A pharmaceutical client of Insight Global is looking to add a Healthcare Data Analyst to their team! This person will join their Product Development ... and Strategy team which specializes in putting together specific pharmacy data that is continuously hitting the...years experience working in a healthcare/pharma environment as a Data Analyst Expert using SQL and Python… more
- Prime Therapeutics (Columbus, OH)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and ... drives every decision we make. **Job Posting Title** Pricing Analyst Sr **Job Description** The Senior Pricing Analyst...+ Develop financial pricing models to monitor performance against pharmacy claims data and identify… more
- The Cigna Group (Bloomfield, CT)
- … Claims Systems configuration within the claims adjudication engine. The Claims Systems Configuration Associate will ensure data integrity, data ... will perform documentation and development of application functionality and data configuration. **What you'll do to make a difference:**...a difference:** + Work from ticket system to correct Claims System configuration errors / issues + Claims… more
- Medical Mutual of Ohio (OH)
- …sources. . Track record of success with analyzing clinical, claims , pharmacy , program and other administrative data . . Intermediate to advanced knowledge ... . Significant track record of success with analyzing clinical, claims , pharmacy , program and other administrative data . . Advanced knowledge of health… more
- Centene Corporation (Austin, TX)
- …all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, pharmacy , external reporting + Extract, load, model, ... workplace flexibility. Remote Available **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex ...data needs of the business unit. Handle complex data projects and acts as a lead for other… more