- Public Consulting Group (Denver, CO)
- …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 (Denver, CO)
- …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 (Denver, CO)
- …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
- University of Colorado (Denver, CO)
- **Financial & Administrative Analyst ** **University of Colorado Denver** Financial & Administrative Analyst -35987 University Staff **Description** **Join Our ... insurance program underwriting data for processing. + Processes submitted claims and coordinates within URM, campus administrators and insurance broker.Administers… more
- UCHealth (Denver, CO)
- …UCHlth Admin Lowry, US:CO:Denver Department: UCHlth Denials Mgt Payer Audit FTE: Full Time, 1 .0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $22.14 - ... and insurers, and clinicians to ensure the payability of claims . + Performs root cause analysis and collaborates on...action. Requirements: + High School diploma or GED. + 1 year of relevant experience. Preferred Requirements: + Healthcare… more
- CVS Health (Denver, CO)
- …managed care or population health - 2+ years of customer or patient-facing experience - 1 -2 years Enhanced knowledge of pharmacy and claims processing - Excellent ... organizational and analytical skills - Superior communication skills with patients and clinicians - Ability to prioritize daily to monthly deliverables - Computer Skills: Proficient in Microsoft Excel, Microsoft Teams, and Sharepoint **Preferred… more
- Prime Therapeutics (Denver, CO)
- …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 (Denver, CO)
- …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
- Prime Therapeutics (Denver, CO)
- …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