- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as... data from Epic, QS1, Oracle Cloud, 340B claims data , and wholesaler purchase feeds. + ... Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact data analysis, reporting, and automation to improve pharmacy financial… more
- Highmark Health (Olympia, WA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with… more
- UTMB Health (Galveston, TX)
- Analyst , 340B Program - Contract Pharmacy **Galveston, Texas, United States** Allied Health UTMB Health Requisition # 2504846 **_REQUIRED EDUCATION / ... degree in business, accounting or finance_** + **_3 years' experience with pharmacy 340B Drug Pricing Program_** + **_3 years' experience in business and… more
- WellSpan Health (York, PA)
- …regularly scheduled audits of contract pharmacies (if applicable) and 340B pharmacy operations to ensure compliance with 340B Program requirements for qualified ... patients, drugs and locations. Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. Evaluates patient… more
- The Cigna Group (Bloomfield, CT)
- … Analyst is to ensure the accuracy, integrity, and utility of drug data to support pharmacy claims processing, drug dispensing, regulatory compliance, ... upon review + Cross-functional Collaboration: Work closely with pharmacy personel, internal drugfile analyst , IT specialists,...**Qualifications** + 2+ years' of experience in working with pharmacy and/or drug related data management +… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst III is a...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- The Cigna Group (Bloomfield, CT)
- …policies, standards, and procedures. + Query and analyze large-scale healthcare datasets (eg, claims , pharmacy , patient data ) using SQL and other tools. ... the Role** We are seeking a detail-oriented and strategic Data Governance & Validation Analyst to join...roles. + 3+ years of experience working with healthcare data , including claims , pharmacy , and… more
- The Cigna Group (Bloomfield, CT)
- …gather and refine requirements for various evaluation initiatives. * Efficiently query multiple data types (medical and pharmacy claims , EMR, lab, ... patient support programs. **How you'll make a difference:** The Data Science Lead Analyst role is a...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- 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
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