- Elevance Health (Dearborn, MI)
- ** Pharmacy Benefits Manager** **(PBM) Pricing Strategy Analyst , Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, ... granted as required by law. The **PBM Pricing Strategy Analyst , Senior ** is responsible for Administrative Services...and a minimum of 3 years of experience with Pharmacy Benefits Manager (PBM), data analysis; or… more
- AmeriHealth Caritas (Detroit, MI)
- … is more than just numbers-it's the foundation of trust, access, and quality care. As a Senior Provider Network Data Analyst , you'll be at the center of that ... Medicare, Medicaid, and Exchange products. In this role, you won't just manage data -you'll ensure that every provider is accurately represented in our systems, help… more
- Molina Healthcare (Warren, MI)
- …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and Risk ... decisions + Research and develop reports and analyses for senior management and effectively and concisely communicate results and...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Prime Therapeutics (Lansing, MI)
- … analyses, reporting, and projections + Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer challenging ... and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description**...+ Collaborate with Underwriters, other areas of Prime, and senior leaders on pricing initiatives, data analyses,… more
- CVS Health (Lansing, MI)
- …we do it all with heart, each and every day. **Position Summary** As Senior Analyst , Assumptions Governance, you will be responsible for key support functions ... that enable CVS Health's Pharmacy Benefit Management (PBM) forecasting and financial governance processes....critical part in ensuring the accuracy and consistency of data artifacts used across underwriting, finance, and related business… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Senior Medical Economic Analyst plays a critical role in analyzing healthcare utilization and medical cost trends to support data driven ... conducting complex analyses to uncover financial improvement opportunities. Utilizes data from multiple sources to identify key risks and...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Molina Healthcare (Grand Rapids, MI)
- …solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims, pharmacy , and lab datasets. + Build and maintain ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Molina Healthcare (MI)
- …Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates + Assists and ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's...reports as requested to track HEDIS performance and supplemental data monitoring + Develops and QA custom health plan… more
- Highmark Health (Lansing, MI)
- …analysis. + Analyze, evaluate and interpret appropriate financial and statistical data . + Develop and/or document business policies, conducts special financial and ... software, compile and prepare reports, graphs and charts of data developed. + Serve as a project lead for...include MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager… more
- Highmark Health (Lansing, MI)
- …Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities and/or create analytics and ... to aggregate, analyze and understand patterns in varied and complex data ; and articulates analytic findings, business implications, and recommendations to realize… more
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