- Public Consulting Group (Nashville, TN)
- …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
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Nashville, TN)
- …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
- CVS Health (Nashville, TN)
- …to GPS to rework claims after validating as overpaid **Required Qualifications** * 1 years experience working with GPS and ECHS * Knowledge of ACAS claims ... This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and...experience along with provided guidance to review and validate claims for overpayment. The ideal candidate will be able… more
- HCA Healthcare (Brentwood, TN)
- …want to join an organization that invests in you as a Billing Integrity Analyst Credentialed? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Billing Integrity Analyst Credentialed like you to be a part of...based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay… more
- Prime Therapeutics (Nashville, TN)
- …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
- Evolent (Nashville, TN)
- …Business, Economics, Engineering, Physical/Life Sciences, or a related field (preferred).** ** 1 + years of professional experience in claims -based healthcare ... positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- Elevance Health (Nashville, TN)
- **Business Information Analyst II** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of ... our Elevance Health PulsePoint locations. The **Business Information Analyst II** will be responsible for analyzing the business process, proposing solutions to… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description** + Performs exploratory data analysis and data ... mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of… more
- Prime Therapeutics (Nashville, TN)
- …new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to ... solution design; develop strategic partnerships with various levels of leadership and analyst teams within the organization + Support enterprise adoption of Tableau… more
- Prime Therapeutics (Nashville, TN)
- …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