- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …years of fraud, waste and abuse investigation/loss prevention experience or 3 years medical/ pharmacy claims audit research and analytics or a related experience. ... direct supervision. * Assist with investigating cases through personal interview, analysis of claims , medical records and other available data . * Document case… more
- Clark County, NV (Las Vegas, NV)
- SENIOR MANAGEMENT ANALYST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5142202) Apply SENIOR MANAGEMENT ANALYST Salary $38.23 - ... is seeking qualified candidates to apply for the position Senior Management Analyst . This position will support the Fiscal, Grants, Contracts, and Medicaid program… more
- The County of Los Angeles (Los Angeles, CA)
- PHARMACY SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3794484) Apply PHARMACY SUPERVISOR I Salary $164,128.32 - ... notice. DEFINITION: Supervises professional and support personnel in the provision of pharmacy services in a hospital, clinic, correctional facility, or other health… more
- Norstella (Topeka, KS)
- …**healthcare data analytics** to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, ... Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States...Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data , in an… more
- CareFirst (Baltimore, MD)
- …risk score methodology, risk score calculation, enrollment, submissions, premiums, medical and pharmacy claims , and provider data . Incumbent is responsible ... & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy...based on the HHS-HCC (Hierarchical Condition Code) model. Perform data mining of claims and data… more
- The County of Los Angeles (Los Angeles, CA)
- …other special instructions written by the provider. + Enters patient and prescription data into pharmacy computer system to generate labels and collates ... PHARMACY TECHNICIAN Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4979363) Apply PHARMACY...inspect orders received, and to complete transactions and receive data . + Assists a licensed pharmacist in packaging and… more
- BrightSpring Health Services (Louisville, KY)
- …to work effectively with internal customers Microsoft office products + Knowledge of claims processing system or pharmacy practice system desired + Strong ... Our Company PharMerica Overview PharMericais a national leader in pharmacy services with over 30 years of experience, serving our partners in long-term care, senior… more
- Molina Healthcare (Columbus, OH)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy , Lab and HEDIS rates. + ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- CVS Health (Woonsocket, RI)
- …within the healthcare industry + Experience working with large volumes of medical and pharmacy claims data + Experience with SSIS, Alteryx, Tableau Prep, ... it all with heart, each and every day. **Position Summary:** As a Senior Analyst on the Program Modernization Automation and Development AI team, you will serve as… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …Single. Day. Aspirus Health in Wausau, WI is seeking a HEALTHCARE ECONOMICS ANALYST to join our Health Plan team! Healthcare economics analysts are responsible for ... analyzing large datasets, such as claims and electronic health records, to identify patterns and...repeatable Excel models and self-service dashboards. Providing medical and pharmacy financial and utilization reports and presenting findings to… more