- Wolters Kluwer (Philadelphia, PA)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, ... claims utilization billing, and employer group reimbursements are completed...High School diploma or GED + Bachelor's Degree in Business Administration- Accounting, Finance or related field preferred +… more
- Centene Corporation (Harrisburg, PA)
- …data analysis experience, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge ... flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. Knowledge of Facets… more
- Evolent (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- CVS Health (Blue Bell, PA)
- …health care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... including initiation, identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development of provider fee… more
- Prime Therapeutics (Harrisburg, PA)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Prime Therapeutics (Harrisburg, PA)
- …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
- Elevance Health (Harrisburg, PA)
- … writing proficiency, understanding of provider networks, the medical management process, claims process, all of the company's internal business processes, and ... and begins on March 10th, lasts 12-16 weeks, and occurs during business hours, Monday through Friday. **National Government Services** is a proud member… more
- UPMC (Pittsburgh, PA)
- …glean findings and actionable insights and deliver results to leadership. + Incorporate healthcare claims cost and utilization trends into the development of ... an Actuary in its Department of Health Economics! This credentialed healthcare actuary would drive high-visibility impactful analysis and would be responsible… more
- West Pharmaceutical Services (Exton, PA)
- …injectable medicines to millions of patients daily, West's indelible mark on the healthcare industry has just begun. A name started our story. How will yours ... Duties and Responsibilities:** + Solve complex problems with broad business impact. + Works independently, with guidance only in...gate / strategic list. + Lead with the Project Analyst the development of technical information reports that form… more
- Baylor Scott & White Health (Harrisburg, PA)
- …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