- Public Consulting Group (Little Rock, AR)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- Prime Therapeutics (Little Rock, AR)
- …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
- Prime Therapeutics (Little Rock, AR)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- CVS Health (Little Rock, AR)
- …to GPS to rework claims after validating as overpaid **Required Qualifications** * 1 years experience working with GPS and ECHS * Knowledge of ACAS claims ... This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and...experience along with provided guidance to review and validate claims for overpayment. The ideal candidate will be able… more
- PRGX (Bentonville, AR)
- …clients in more than 30 countries with the business intelligence to recover $ 1 .2 billion in annual cash flow, unlocking value and improving the overall health ... business operations. + Finds, supports, and documents audit and claims operations. + Produces claims using appropriate audit concepts for writing claims ,… more
- Walmart (Bentonville, AR)
- …Summary What you'll do **We are looking for an Environment, Health, Safety (EHS) Analyst . The EHS Analyst will implement, maintain, and improve upon established ... **Manages the implementation of compliance initiatives (for example, store claims processing, storm water fees, waste minimization) aligned with...live better every week. Yes, we are the Fortune # 1 company. But you'll quickly find we're a company… more
- The Cigna Group (Little Rock, AR)
- …in either: Mississippi, Arkansas or Western Tennessee_** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- Ducommun (Huntsville, AR)
- Project Manager Analyst The Program Management Analyst , under the supervision of the Program Manager, supports the Program Manager and oversees assigned programs ... Program, annual bonus plan, and tuition reimbursement Job Summary 1 ) Focal point for customer/buyer communication and interface: +...submittal and in resolving late payment receipts and customer claims . 5. Development and growth of the Program: +… more
- Prime Therapeutics (Little Rock, AR)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Baylor Scott & White Health (Little Rock, AR)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- Arkansas Children's (Little Rock, AR)
- …Direct_Epic experience **Required Certifications:** **Recommended Certifications:** **Description** 1 . Obtains pre-authorization approvals for outpatient procedures ... to date of service to ensure patient eligibility, benefits and accurate claims payment. Training and education. 5. Conducts appropriate follow-ups on all assigned… more
- Prime Therapeutics (Little Rock, AR)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more