- Public Consulting Group (Harrisburg, PA)
- …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
- CAI (Harrisburg, PA)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited ... case assignments. **Job Description** We are looking for a ** Claims Processor Analyst ** , you will receive,...claims **What You'll Need** Required: + At least 1 year of experience in health insurance claims… more
- Prime Therapeutics (Harrisburg, PA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- Prime Therapeutics (Harrisburg, PA)
- …passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems Analyst (BSA) IT is ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Prime Therapeutics (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- WellSpan Health (York, PA)
- Pharmacy 340B Program Analyst - Full Time - Day Shift Location: WellSpan Health, York, PA Schedule: Full Time Schedule: Full Time 40-hours per week Monday - Friday ... qualified patients, drugs and locations. Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. Evaluates… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Basic to intermediate SAS coding skills… more
- Prime Therapeutics (Harrisburg, PA)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead some initiatives within their designated… more
- Penn State Health (Hershey, PA)
- …Health Corporation** **Location:** US:PA: Hershey **Work Type:** Full Time **FTE:** 1 .00 **Shift:** Day **Hours:** 8:00a - 4:30p **Recruiter Contact:** Garrett C. ... (EHR and other clinical applications) and operational data sets (ex: claims , CMS/TJC, eCQMs, NSQIP, GWTG, etc.). Responsible for supporting clinical decision… more
- CVS Health (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …+ Prior experience as a Business Intelligence Developer or Data Analyst supporting business intelligence, reporting, analytics or data warehouse projects. + ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.) + Related industry experience. +… more
- Prime Therapeutics (Harrisburg, PA)
- …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