- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data ... of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects… more
- Molina Healthcare (San Diego, CA)
- …Medicaid, Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims , Pharmacy , Lab and HEDIS rates + ... **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's...reports as requested to track HEDIS performance and supplemental data monitoring + Development and QA of custom health… more
- Molina Healthcare (Nampa, ID)
- …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
- Molina Healthcare (Milwaukee, WI)
- …Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy , Lab and HEDIS rates * ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking… 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
- Option Care Health (Bannockburn, IL)
- …best and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for supporting the ... and coding, privacy and security, and fraud and abuse. + Perform data analysis and review of documentation to identify potential compliance issues, irregularities,… more
- CVS Health (Phoenix, AZ)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... enterprise operations teams using a variety of platforms. We service medical, pharmacy , sales, product and call center support models across the CVS enterprise.… more
- Molina Healthcare (New York, NY)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- BrightSpring Health Services (Longmont, CO)
- …timely manner + Productivity records will also be maintained + Works with pharmacy billing associates in obtaining accurate billing and resident information and in ... re-billing and resolving unpaid claims through adjudication + Works with Facility Collection Director/Manager/Supervisor and other members of the management team in… more
- Mohawk Valley Health System (Utica, NY)
- …+ Knowledge of 340B Drug Pricing Program, third-party payer billing guidelines, or pharmacy claims reconciliation. + Familiarity with Epic, Cerner, or other EMR ... while ensuring accurate, compliant billing practices and optimizing reimbursement outcomes. The Analyst partners with pharmacy , finance, IT, and compliance teams… more