- CVS Health (Austin, TX)
- …each and every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters department, you will ... work exclusively with Pharmacy generated Medicaid encounters. You will be responsible for researching, analyzing and correcting previously submitted, rejected,… more
- Cardinal Health (Austin, TX)
- …500. We currently have a career opening for a Reimbursement Solutions Analyst . **What Clinical Operations contributes to Cardinal Health** Clinical Operations is ... regimens as insurance indicates + Discuss medication options with pharmacy /physician and patient based on accessibility and availability (outpatient environment)… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims, pharmacy , and lab datasets. + Build and maintain efficient ETL pipelines to… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more
- United Site Services (Dallas, TX)
- …teamwork, and excellence in every aspect of our business. **Primary Purpose** The Analyst , Operations Excellence is a critical team member to the success of United ... + Holiday & Paid Time Off (pro-rated for Part-Time employees) + Medical/ Pharmacy + Dental + Vision + Employer-Paid Short-Term Disability + Employer-Paid Employee… more
- CVS Health (Irving, TX)
- …we do. The Implementations Team supports CVS Caremark, the nations leading pharmacy benefit manager (PBM). Implementations Managers play a critical role in ... stakeholders to deliver high quality and predictable outcomes. At the Sr. Analyst level you are expected to drive your Implementations independently - leveraging… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more
- Highmark Health (Austin, TX)
- …computer applications to include MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager (PBM), consultant, ... pharmacy provider, or another organization specializing in pharmacy **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Strong… more
- WTW (Dallas, TX)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit ... services. Product-based solutions such as our pharmacy purchasing coalition round out our broad-based suite of...etc. + Gain specialized knowledge in areas such as pharmacy , life and disability insurance, health equity and wellbeing,… more
- CVS Health (Austin, TX)
- …seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/ Pharmacy /Broker Investigative Team within Aetna's Special Investigations Unit. In this ... AHFI, CFE + Bilingual English/Spanish + Dental Investigative experience + Pharmacy Investigative experience + Marketplace Broker Investigative experience + Medicaid… more