- Intermountain Health (Washington, DC)
- …sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems ... vendor relationships, and trading partner exchanges. This position will support various business and operational needs within the pharmacy department that… more
- CenterWell (Washington, DC)
- …for you! The Senior Business Intelligence Analyst is a key business partner within Humana's Pharmacy Analytics and Consulting (PAC) team. The individual ... to help solve it? We're looking for a Senior Business Intelligence Analyst to help create intelligence...utilizing data to provide clear, actionable insights for our Pharmacy . If you enjoy writing code, analyzing data, and… more
- CenterWell (Washington, DC)
- …taking a problem and leveraging data to help solve it? We're looking for a Business Intelligence Analyst to help solve business problems, utilizing data to ... this is an opportunity for you! As a BI Analyst on Humana's Pharmacy Analytics and Consulting...data -- utilizing your skills to create insightful, actionable business information for our pharmacy teams. This… more
- Prime Therapeutics (Washington, DC)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr **Job Description** The Senior Pricing Analyst participates in the ... + 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
- VHC Health (Alexandria, 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)
- …passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr. **Job Description** The Senior Claims Technical Analyst is ... role is responsible for performing complex and escalated client, member and pharmacy remediation analysis. This role is also responsible for providing training and… more
- Baylor Scott & White Health (Washington, DC)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... and ROI. + Contributes to program improvement by designing and implementing business process and system changes, collaborating to resolve encounter data and process… more
- Prime Therapeutics (Washington, DC)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is ... design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also...projections + Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and… more
- Prime Therapeutics (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The Actuarial Analyst is responsible for ... trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). **Responsibilities** + Build, support, and maintain… more
- Prime Therapeutics (Washington, DC)
- …to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Master's degree in technical or analytic ... and drives every decision we make. **Job Posting Title** Health Informatics Analyst **Job Description Summary** Design, document, develop and roll out financial,… more
- Highmark Health (Washington, DC)
- …in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL ... strategic priorities, needs, plans and resources. + Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought… more
- WTW (Arlington, VA)
- …sponsorship and/or assistance is not offered for this specific job opportunity.** **The Business ** **Create your future.** Our Health and Benefits business helps ... provide specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit services.… more
- WTW (Arlington, VA)
- …sponsorship and/or assistance is not offered for this specific job opportunity.** **The Business ** **Create your future.** Our Health and Benefits business helps ... provide specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit services.… more
- Evolent Health (Washington, DC)
- …creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director, Client Analyst role ... selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:**… more
- Prime Therapeutics (Washington, DC)
- …Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create ... new business insights and strategies for Prime's financial pricing programs...financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Optimization System, DMLSS, Medical Expense and Performance Reporting System, CMS, Defense Pharmacy System, Radiology and PACS, Automated Business System and ... but are not limited to: The MHS GENESIS, Government data repositories such as P2R2 Virtual Analyst , M2 Data Mart, EDW, Population Health Operational Tracking and… more