- Molina Healthcare (Columbus, OH)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple… more
- CVS Health (Columbus, OH)
- …each and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/ Pharmacy /Broker Investigative Team ... AHFI, CFE + Bilingual English/Spanish + Dental Investigative experience + Pharmacy Investigative experience + Marketplace Broker Investigative experience + Medicaid… more
- CVS Health (Columbus, OH)
- …may have multiple contacts depending on whether the question is medical, dental, or pharmacy related. The PSL role is to ensure that the plan sponsors intent is ... administered by the Aetna One Advocate team in relationship to the plan sponsors overall benefit outlook. This position is considered to be a key member of the A1A… more
- Molina Healthcare (Dayton, OH)
- **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
- Highmark Health (Columbus, OH)
- …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
- Prime Therapeutics (Columbus, OH)
- …in pricing or financial analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field. + ... Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing Analyst participates in the assessment...and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and… more
- Elevance Health (Mason, OH)
- …Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manage (PBM), pricing, data analysis; or any combination of education ... of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **PBM Pricing Strategy Analyst Manager** will be… more
- Prime Therapeutics (Columbus, OH)
- …+ 5 years of experience in detailed analytical work in financial, insurance, pharmacy benefits management, reporting & analytics, benefits consulting ... It fuels our passion and drives every decision we make. **Job Posting Title** Forecast Analyst Sr - REMOTE **Job Description** The Senior Forecast Analyst is… more
- Norstella (Columbus, OH)
- …therapies 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. ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...degree (Master's or Doctorate) in Biostatistics, Epidemiology, Public Health, Pharmacy (PharmD), Medicine (MD/DO), or a related field. +… more
- Prime Therapeutics (Columbus, OH)
- … Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance ... and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise.… more