- 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 (Austin, TX)
- …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
- AmeriHealth Caritas (Charleston, SC)
- …education and experience preferred. + Required ability to focus on technical claims processing and Provider data maintenance knowledge. + Required understanding ... is to be responsible for the maintaining current provider data and provider reimbursement set up, and to address...identify root causes of claim denials, incorrect payments and claims that are not correctly submitted for payment. +… more
- Walgreens (Perrysburg, OH)
- …daily/weekly payroll. Performs moderately complex analysis of information, problems, and/or data under general supervision. Makes recommendations for the review of ... accident reporting, uses on line tools to enter accident claims . + Creates and analyzes basic reports to support...is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create… more
- Molina Healthcare (Rochester, 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
- Molina Healthcare (NM)
- …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
- Walgreens (Deerfield, IL)
- …efficient operations of programs. **Job Responsibilities:** + Gathers and analyzes exposure data and prepares underwriting submissions for all lines of property and ... basis. + Ensures accurate and timely delivery of exposure data , quotes, binders, policies and outstanding items on a...is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create… more
- SSM Health (MO)
- …Affairs (OPA) database changes and updates. + Monitors and audits state Medicaid claims to ensure compliance. + Reconciles contract pharmacy payments against ... RESPONSIBILITIES + Performs recurring internal audits and oversight of 340B contract pharmacy programs, inpatient pharmacy programs, child sites and entity-owned… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …business partners outside of Finance, spanning multiple layers of the organization from analyst to SVP, including Sales & Segmentation, Pharmacy , ET, and Health ... Segment Leaders, Enterprise Analytics Executive Team, Market Reporting Oversight Team, Pharmacy Leadership Committee, Data Access Layer Steering, Medical Cost… more
- Highmark Health (Trenton, NJ)
- …bachelor's degree + 10-15 years experience in support of a Marketing function or Data Analyst role or in a business environment with responsibility for ... sources across Highmark's business units, coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and… more