• Senior Analyst , Client Analytics - 2+…

    Evolent (Annapolis, MD)
    …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
    Evolent (12/05/24)
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  • Senior Analyst , Strategic…

    Evolent (Annapolis, MD)
    …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 (11/27/24)
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  • Business Analyst

    Chenega Corporation (Rockville, MD)
    …**Chenega Professional Services Strategic Business Unit** company, is looking for a Business Analyst to support the Department of Health and Human Services ... Program Manager, corporate CSCS leadership, and Chenega Professional Services Strategic Business Unit (PSSBU) stakeholders. + Help develop data analysis related… more
    Chenega Corporation (01/02/25)
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  • Pricing Analyst - Remote

    Prime Therapeutics (Annapolis, MD)
    …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
    Prime Therapeutics (01/09/25)
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  • Analyst , Medicaid Rebates

    Sumitomo Pharma (Annapolis, MD)
    …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
    Sumitomo Pharma (11/07/24)
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  • Sr. Pricing Analyst - Pharmacy Network…

    Prime Therapeutics (Annapolis, MD)
    …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
    Prime Therapeutics (01/08/25)
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  • Bus Info Analyst Sr.

    Elevance Health (Hanover, MD)
    ** Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The ** Business Information Analyst Sr.** is responsible for...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… more
    Elevance Health (01/11/25)
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  • Sr Data and Reporting Analyst - Remote

    Prime Therapeutics (Annapolis, MD)
    …Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting the business in decision making and ... operations efforts by providing data, reporting and business intelligence services. This role is responsible for acting...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or… more
    Prime Therapeutics (01/16/25)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (Annapolis, MD)
    …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
    HealthEdge Software Inc (01/15/25)
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  • Data Analyst III

    Chenega Corporation (Rockville, MD)
    …Professional Services Strategic Business Unit** company, is looking for a Data Analyst to support the Department of Health and Human Services (HHS), within the ... or Statics. + Proven working experiences as a Data Analyst or Business Data Analyst ....analysis and writing skills. + Experience working in a healthcare related environment is not required but is a… more
    Chenega Corporation (01/02/25)
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  • Quality Analyst (Hybrid)

    CareFirst (Baltimore, MD)
    …tools including Excel, Word, Power Point and Outlook. + Knowledge of healthcare claims , survey, clinical, and health data. **Licenses/Certifications** : RN-BC ... **Education Level:** Bachelor's Degree in population health, public health, healthcare administration, business administration, health policy, economics,… more
    CareFirst (01/17/25)
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  • Senior Quality Analyst (Hybrid)

    CareFirst (Baltimore, MD)
    …of Microsoft tools including Excel, Word, Power Point and Outlook. + Expertise with healthcare claims , survey, clinical, and health data. + Ability to mentor and ... **Education Level:** Bachelor's Degree in population health, public health, healthcare administration, business administration, health policy, economics,… more
    CareFirst (12/21/24)
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  • PBM Sr Business Intelligence Data Visual…

    Prime Therapeutics (Annapolis, MD)
    …consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... passion and drives every decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data… more
    Prime Therapeutics (01/08/25)
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  • Coding Appeals Specialist

    TEKsystems (Annapolis, MD)
    …knowledge of best practices within coding. Qualifications: + Associate's Degree in business , healthcare , or related field is preferred. + Current coding ... Hybrid Coding Appeals Analyst Opportunity to join one of Maryland's most...is required. + Bachelor's degree in health information management, business , healthcare , or related field is preferred.… more
    TEKsystems (01/22/25)
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  • Analytics Developer I, Medical Trends

    Baylor Scott & White Health (Annapolis, MD)
    …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
    Baylor Scott & White Health (01/23/25)
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