- Segal (Washington, DC)
- …contracting, and negotiating elements and processes.| In-depth knowledge of Pharmacy benefits claims data and RFP analysis.| Expert level proficiency with SQL, ... This opportunity may be for you!Our Senior Consultant, Pharmacy Benefits Financial Analyst creates and analyzes pharmacy benefits financial data , contributes… more
- Carrington (Washington, DC)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... external investors providing opportunity for investor rebuttals. Accountable for analyzing multiple data elements in order to apply the proper decision rationale and… more
- Norstella (Washington, DC)
- Data Analyst , RWD Company: Citeline Location:...cases by querying and analyzing a wide range of healthcare data sources, including claims , ... at this time. **Job Description** We are seeking a Data Analyst with strong SQL experience to...Query and analyze large volumes of healthcare data from diverse sources, including claims , lab… more
- American Institutes for Research (Arlington, VA)
- **Overview** AIR is seeking a full-time **Python Programmer ( Data Analyst II)** with data management skills and strong statistical software package ... The selected candidate will contribute to the analysis of healthcare data and provide support to the...querying large datasets including Medicare, Medicaid, and commercial payer claims data , cleaning and imputing data… more
- Prime Therapeutics (Washington, DC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data Analyst ... (such as PMPM, generic utilization) + Experience working with large sets of pharmacy, claims , medical, and/or financial data + Previous experience in a client… more
- Elevance Health (Washington, DC)
- …End Date:** 2024-09-27 **Position Title:** Provider Contract/Cost of Care Analyst Senior-Analytics **Job Description:** **Provider Contract/Cost of Care Analyst ... Analytics and Optimization team** is looking for a senior analyst who will lead medical cost trend deep dives...Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep application understanding and displays excellent verbal and… more
- Prime Therapeutics (Washington, DC)
- …in addressing these issues. **Job Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data . + ... developing efficient and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and… more
- Somatus (Mclean, VA)
- …Analytics to create impact among Somatus' clients and leadership by analyzing Somatus' healthcare claims and care management data . This position will ... on quantitative skills + 3-5 years of relevant experience working with data in a Healthcare environment + At least 2 years of experience conducting data… more
- Norstella (Washington, DC)
- …with and querying large databases + Experience working with healthcare databases (eg, claims , EMR, lab data ) + Strong proficiency in SQL and one high-level ... Senior Analyst - Health Informatics Company: Norstella Location: Remote,...identify barrier to patient access + Panalgo - turn data into insight faster + The Dedham Group -… more
- American Institutes for Research (Arlington, VA)
- **Overview** AIR is seeking a confident, self-motivated, and creative **Policy Analyst ** to join our Health Payment Innovation, Transformation, and Supports Program ... (MACRA) and the Quality Payment Program (QPP). The policy analyst will lead tasks related to AIR Health's work...project leadership. + Coordinate with programmer staff to implement claims -based and other measures. + Mentor and train junior… more
- Evolent Health (Washington, DC)
- …datasets and Evolent Data Warehouse tables, including medical, pharmacy and ancillary claims data , membership data , clinical operational data (UM ... solve complex business problems. **Collaboration Opportunities** The Director, Client Analyst role will be serving as a strategic advisor...& CM), or other healthcare data - **Required.** + Familiarity with Power BI or BI… more
- Highmark Health (Washington, DC)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment… more
- Highmark Health (Washington, DC)
- …new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate ... managed care operations (ie enrollment & billing, claims processing, etc.). This job supports one or more analytical aspects of the application product life cycle,… more
- Prime Therapeutics (Washington, DC)
- …analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + 3 years of experience ... Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create… more