- Fairview Health Services (Minneapolis, MN)
- …Pharmacy Benefit Managers and Third-Party Health Plan Payers. As a member of the pharmacy team, the Contract Analyst manages and coordinates all financial ... problem solving and collaboration skills to support and manage pharmacy revenue management activities. The Contract Specialist...Review, research and respond to payor issues for ambulatory pharmacy service line + Maintain a database… more
- Access Dubuque (Dubuque, IA)
- …**Position Overview:** The Strategic Pricing Analyst position monitors contract performance, analyzes pharmacy claims data, delivers financial ... Senior PBM Pricing Analyst **MedOne Pharmacy Benefit Solutions** 1...actionable insights and solutions. **About MedOne:** MedOne is a full- service pharmacy benefit manager (PBM), serving clients… more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. **Position Purpose:** Pharmacy /Clinical Service Data Analyst is responsible for ... reviews as needed on providers, pharmacies and members. . Trend analysis of pharmacy utilization for formulary compliance and contract compliance. . Responsible… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Pharmacy Analyst , 340B** will be responsible for ensuring 340B program compliance ... Audits will cover HMH's 340B mixed-use setting, retail, and contract pharmacy arrangements. The person in this...of 3 or more years of experience as a Pharmacy Technician, Buyer, Analyst or Auditor. +… more
- Highmark Health (Salem, OR)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Markets business owners, stakeholders and other management, as required, to ... achieve Pharmacy Markets growth objectives. Organize and coordinate ...Continuously monitor regulatory changes, legislative efforts, industry trends, and/or contract changes. + Provide consultation and analytic support to… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Pharmacy Purchasing and Operations Specialist/Acute Care** serves as a resource in the areas ... of the pharmacy supply chain, strategic purchasing, and their interdependent impacts...financial success. Areas of focus include pharmaceutical purchasing, vendor contract agreements, price parity analysis, credit/ rebill process, and… more
- AmeriHealth Caritas (Detroit, MI)
- …We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services , behavioral health services , and other ... Manager of Provider Network Management in dealings with provider agreements.; The Contract Management Analyst will assist the Manager, Provider Network… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Responsible for creating and managing facility and/or physician contract models for Henry Ford Health System entities using EPIC contract ... DUTIES AND RESPONSIBILITIES: 1. Responsible for building basic payer/plan-specific contract terms, including common reimbursement methodologies. 2. Achieve high… more
- WMCHealth (Valhalla, NY)
- …compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the implementation of new software ... present audit findings and corrective action plans to the 340B Steering Committee. + Contract Pharmacy & Cost-Saving Initiatives + Evaluate contract … more
- Mount Sinai Health System (New York, NY)
- … Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all facility amendments, procuring all financial data necessary ... Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage… more