- Healthfirst (GA)
- …all therapeutic and dental categories to understand the drivers of cost and utilization increases/decreases for pharmacy and benefit drug spend. + Works ... **Duties & Responsibilities:** + Pharmacy and Dental costs and trend surveillance for...collaboratively to identify, analyze and document pharmacy and dental cost savings initiatives. Documents all coding,… more
- Healthfirst (NY)
- …performance indicators (KPIs), member feedback based on appeals and grievances, utilization and spend across our Healthfirst products. + Creates visually appealing ... presentations that demonstrate data-driven insights to promote data driven decision making. + Builds a process to ensure the accuracy of our dental directory meets Healthfirst performance targets and/or compliance standards. + Creates oversight monitoring… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** ... The Senior Compliance Analyst assists in the implementation...renewals, notifications, and periodic reports related to licensed functions ( Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization… more
- Pharmacy Data Management, Inc. (OH)
- PDMI is looking a Senior Business Analyst to join our team! This role can be performed 100% remotely from approved locations within the US Since 1984, PDMI has ... provided pharmacy data processing and other flexible, scalable solutions to...development teams + Elaborately define user concept/design documentation for utilization by development teams to build software + Establish… more
- Independent Health (Buffalo, NY)
- …growth, innovation and collaboration. **Overview** Under minimal supervision, the Financial Analyst - Senior will be responsible for analytical reporting, billing, ... problems encountered through the application of judgment and precedent. The Financial Analyst - Senior shall oversee management of executive team records, business… more
- CVS Health (Phoenix, AZ)
- …it all with heart, each and every day. **Position Summary** : As the Senior Analyst , Client Benefits, you will champion the strategic documentation, coding, and ... in the areas of Benefits Coding, Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also...is imperative. The contributions you will make as a Senior Analyst , Client Benefits will position CVS… more
- Cecelia Health (Baltimore, MD)
- …data and welcome the challenge of answering vexing questions. What You'll Do: The Senior Healthcare Analyst will work remotely and is responsible for supporting ... and continuous quality improvement initiatives + Proactively mine customer-specific utilization , financial, and clinical quality performance data to identify trends… more
- Medical Mutual of Ohio (OH)
- …well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** Senior Employer Group Consulting Analyst Design and execute analyses ... knowledge, skills, and abilities. . Performs other duties as assigned. **Qualifications** Senior Employer Group Consulting Analyst . Bachelor's degree in… more
- Mount Sinai Health System (New York, NY)
- … III - Digital and Technology Partners - Remote - Req#3024403** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
- University of Rochester (Strong, AR)
- …and explanation. Assess opportunity for cost savings and business improvement in pharmacy utilization data and prepares statements for this purpose. Prepares ... support of both Strong Memorial and Highland Hospitals in support of Hospital Pharmacy Finance functions. Responsible for providing senior management with the… more
- Henry Ford Health System (Detroit, MI)
- …direction of the Manager, Gift Administration and Information Services, the Systems Analyst is responsible for creating and generating reports, writing queries, data ... closely with Major Gifts Officers, the Annual Giving team, senior Development Office staff and other HFHS staff in...Interacts with front-end users and management on the appropriate utilization of the system to achieve correct results. Assists… more
- CenterWell (Columbus, OH)
- …care programs, specialty provider network development, and financial performance. The Senior Analyst will work closely with market leadership, executive ... of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address… more
- The County of Los Angeles (Los Angeles, CA)
- …included supervisory experience at the level of Los Angeles County's class of Senior Staff Analyst , Health**, Assistant Hospital Administrator IV or higher. ... programs and procedures for accomplishing departmental objectives. **Experience at the level of Senior Staff Analyst is defined as supervises a team of analysts… more
- BrightSpring Health Services (Louisville, KY)
- …to understand and guide the business and support decision making. In addition, the Senior Financial Analyst will monitor, analyze and report on progress towards ... out of the Louisville office, the Finance team is a trusted partner for senior leadership driving change and moving the business forward in highly visible roles. You… more
- The County of Los Angeles (Los Angeles, CA)
- …delivery of mental health treatment. CLASSIFICATION STANDARDS Positions allocable to this senior -level class are assigned to a line operation responsible for the ... to community resources. + Provides consultation to community agencies in the utilization of mental health and support services provided by directly operated clinics,… more
- ERP International (Nellis AFB, NV)
- …and biometric reports and other medical administrative correspondence; delivers to senior MTF management. + Uses business intelligence applications to extract, ... plans and budgets to execute health care activities and initiatives. Analyzes utilization of funds in collaboration with MTF management. + Assists with preparations… more