- Elevance Health (Manchester, NH)
- ** 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
- Prime Therapeutics (Boston, MA)
- …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
- Prime Therapeutics (Boston, MA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and ... every decision we make. **Job Posting Title** Sr. Pricing Analyst **Job Description** The Senior Pricing Analyst ...+ Develop financial pricing models to monitor performance against pharmacy claims data and identify… more
- Cambridge Health Alliance (Cambridge, MA)
- PACE Health Plan Analyst Apply Refer a Friend Back **Date Posted:** 11/11/2024 **Requisition Number:** 8816 **Location:** CHA East Cambridge Care Center **Work ... working with a PACE health plan third party administrator (TPA) and its PACE pharmacy benefit manager (PBM) to monitor and oversee billing, claims , and accounts… more
- Baylor Scott & White Health (Boston, MA)
- …business requirements preferred. + Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits package ... **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst )...end-to-end claims encounter management workflow. + Analyzes claims and supplemental data to identify reporting… more
- Prime Therapeutics (Boston, MA)
- …effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Master's degree ... these issues. **Job Description** + Job DescriptionPerforms exploratory data analysis and data mining of healthcare claims and authorizations data . +… more
- Prime Therapeutics (Boston, MA)
- …and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics… more
- WTW (Boston, MA)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims ... plan design, vendor evaluation and management, pricing and funding strategies, data analytics, valuation support, and legal compliance and governance strategies. We… more
- Prime Therapeutics (Boston, MA)
- …in pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + ... Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create… more