- Insight Global (Eagan, MN)
- Job Description Insight Global is seeking a Claims Technical Analyst for one of our large PBM clients. This role is responsible for performing basic to ... errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. You will be...can vary based on the error type and impacted claims . This offers a variety of research options and… more
- TEKsystems (Minneapolis, MN)
- …go between and eventually maybe they move into a analyst role. Skills Claims Analyst , CapRX, RxClaims, PBM , Analyst , research, Reprocessing, medical ... terminology, Claim, billing Top Skills Details Claims Analyst ,CapRX,RxClaims, PBM , Analyst ,research,Reprocessing,medical terminology Additional Skills &… more
- TEKsystems (St. Louis, MO)
- Now Hiring: Claims Technical Analyst (Remote) Contract...+ 2+ years of experience in health insurance or PBM claims + High school diploma or GED ... mindset and a passion for problem-solving? We're seeking a Claims Technical Analyst to join...Claims research & analysis + Pharmacy Benefit Management ( PBM ) knowledge + Data reporting & quality assurance +… more
- Insight Global (Eagan, MN)
- Job Description Insight Global is seeking a Claims Technical Analyst to join a large PBM client. This individual will be coming in to assist with volume ... adjudication systems (Big plus but if they worked as a pharm tech or claims analyst doing similar work, that is sufficient as well) -High attention to detail and… more
- CVS Health (Phoenix, AZ)
- …of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review ... pharmacy submitted Medicare claims , make independent decisions, and call network pharmacies to audit submitted information and communicate business requirements.… more
- CVS Health (FL)
- …and every day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business ... with SQL database administration **Preferred Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network… more
- CVS Health (Scottsdale, AZ)
- …solutions + Perform analytical work requiring ability to capture, analyze and interpret claims data + Create complex queries; perform technical programming + ... do it all with heart, each and every day. **Position Summary** The Senior Analyst - Business Analytics will be a detail-oriented individual with strong data analysis… more
- AbbVie (Mettawa, IL)
- …340B COE Business Operations Analyst is a member of a group with technical expertise in the business and operations of the 340B program; the group (1) maintains ... industry. + Experience with IQVIA data sources (eg HCOS data), Rx claims data, PBM rebate data. + Knowledge of 340B flows preferred. + Working knowledge… more