- Prime Therapeutics (Lansing, MI)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and ... drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing...+ Develop financial pricing models to monitor performance against pharmacy claims data and identify… more
- Prime Therapeutics (Lansing, MI)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and ... drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description**...+ Develop financial pricing models to monitor performance against pharmacy claims data and identify… more
- Prime Therapeutics (Lansing, MI)
- …and assists with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to ... including data extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify and mitigate financial… more
- Norstella (Lansing, MI)
- …to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results,… more
- Molina Healthcare (Warren, MI)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data modelling and… more
- Evolent (Lansing, MI)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations ... data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree,… more
- Molina Healthcare (Grand Rapids, MI)
- …technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy , and lab datasets. + Build ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Highmark Health (Lansing, MI)
- …+ 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities and/or create analytics and… more
- Corewell Health (Grand Rapids, MI)
- …or abusive practices by utilizing system tools, interviews, medical records audits, data mining, perform compliance audits of medical claims , fee screens ... all types of health care fraud including member, employer group, agent, pharmacy , provider, etc. Investigates, collects and documents findings for management review.… more
- WTW (Detroit, MI)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims ... plan design, vendor evaluation and management, pricing and funding strategies, data analytics, valuation support, and legal compliance and governance strategies. We… more