• Data Validation Analyst

    Independent Health (Buffalo, NY)
    …Computer Information Systems, or Business preferred. + One (1) year of experience with pharmacy or medical claims and/or data analysis, reporting and/or ... reporting for internal and external solutions supporting Reliance Rx initiatives. The Data Validation Analyst develops standard operating procedures (SOPs) for… more
    Independent Health (10/05/25)
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  • Data and Reporting Analyst Assoc-…

    Prime Therapeutics (Jefferson City, MO)
    …and modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the ... our passion and drives every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data &… more
    Prime Therapeutics (10/08/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …to utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy , encounter, and quality measurement data . + Advanced knowledge of NCQA ... software. + Ability to analyze clinical, claims , pharmacy , encounter, and quality measurement data . +...+ 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses… more
    Medical Mutual of Ohio (08/16/25)
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  • Technical Business Analyst Encounter…

    MVP Health Care (Tarrytown, NY)
    …root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity ... thinking and continuous improvement. To achieve this, we're looking for a Technical Business Analyst Encounter Data Integrity & Delivery to join #TeamMVP. If you… more
    MVP Health Care (10/15/25)
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  • Compliance Analyst , 340B Program ( On-Site…

    WMCHealth (Valhalla, NY)
    …accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the implementation ... contract pharmacy relationships, including contract language, fee structures, and data setup, ensuring compliance with 340B requirements. + + Assess cost-saving… more
    WMCHealth (09/12/25)
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  • Pharmacist, Financial Analyst

    Seattle Children's (WA)
    …decision-making through data -driven insights and performance tracking. The analyst also oversees pharmacy -related contracting activities, including financial ... The Pharmacy Financial Analyst leads critical financial...analysis and financial reporting. Knowledge of Epic Willow and pharmacy claims processing. Epic certified in modules… more
    Seattle Children's (09/21/25)
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  • ACA/Medicare Risk Adjustment Analyst Sr.

    Baylor Scott & White Health (Austin, TX)
    …, MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with Healthcare claims , enrollment and pharmacy data is preferred + Knowledge of ACA, ... TPA business requirements preferred.Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits package… more
    Baylor Scott & White Health (10/03/25)
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  • Healthcare Analyst Senior

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    … Analyst is fast-paced, detail-oriented, and highly collaborative. The analyst begins by navigating complex data requests-balancing urgent consultant ... liaises with internal teams such as Network and Pharmacy , ensuring data is pulled using the...analyst is a proactive problem solver-delivering reliable, high-quality data that supports both internal operations and external compliance.… more
    Blue Cross and Blue Shield of Minnesota (10/08/25)
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  • PBM Senior Reporting Analyst

    CVS Health (Phoenix, AZ)
    …Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...You will work with a collaborative, close-knit team on pharmacy and member specific claims data… more
    CVS Health (10/15/25)
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  • Benefits Analyst , Account Manager

    CVS Health (Largo, FL)
    …available benefits and services. + **Reporting & Analytics:** Review and interpret data related to claims , utilization, and service issues. Communicate insights ... we do it all with heart, each and every day. **Position Summary** The Benefits Analyst , Account Manager at CVS Health, you will play a critical role in supporting… more
    CVS Health (10/15/25)
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