- Evolent (Denver, CO)
- …reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between ... **Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience… more
- Prime Therapeutics (Denver, CO)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems ... and document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements… more
- Evolent (Denver, CO)
- …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that… more
- Evolent (Denver, CO)
- …quantifying and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations ... computer science, or engineering)- Preferred .** **Working knowledge of healthcare claims ; specifically, differences between institutional vs professional… more
- Prime Therapeutics (Denver, CO)
- …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… more
- Sumitomo Pharma (Denver, CO)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Prime Therapeutics (Denver, CO)
- …complex queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- HealthEdge Software Inc (Denver, CO)
- …root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The ... towards success. **What You Bring:** + Bachelor's degree in Healthcare Administration, Business , Finance, Computer Science, or...degree. + Minimum of 3 years of experience in healthcare payment integrity, content & policy, contracts, claims… more
- University of Colorado (Denver, CO)
- **Financial & Administrative Analyst ** **University of Colorado Denver** Financial & Administrative Analyst -35987 University Staff **Description** **Join Our ... as they are subject to audit review. + In coordination with business services professional, review submitted documentation and approve for mailing all claimant… more
- Baylor Scott & White Health (Denver, CO)
- …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...a variety of sources, including electronic health records, and claims data + **25%** : Provide observations and recommendations… more