Analyst pharmacy data jobs

Job Description Support existing client pharmacy sites by analyzing pharmacy data and payer reconciliation data to produce reports and recommendations to management. Support sales by analyzing client data and creating client projections. Successful candidate in this position will develop a deep understanding of pharmacy's key performance indicators and assist in the management of the data to suppo...
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The Pharmacy Analyst is responsible for but not limited to: • Analyzing data to identify issues and opportunities related to Compliance and Operational Efficiencies • Transform data into Business Intelligence by summarizing the results • Identify various issues related to adjudication and work with both internal and external team members to create a solution. • Supporting other functional teams wi...
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Description: Primary Responsibilities: Analyze benefit requests and secure all necessary data to ensure appropriate. implementation based on applied logic of RxCLAIM (by SXC) pharmacy claim adjudication system Work with Client Management to implement new and maintain existing benefit plans and client pricing in the pharmacy claim adjudication system Work with Clinical Pharmacy to implement formula...
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Job Summary Responsible for configuring National Drug Codes in the MMS system received from the First Data Bank Load Cycle. Responds to complex pharmacy provider phone calls that get elevated via the Apropos phone agent and supports provider relations when they require a Subject Matter Expert on pharmacy issues or concerns. Performs research, analysis and troubleshooting within the Pharmacy arena ...
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To contact me directly please email awitt@vipconsulting.com Overview: Established in 1996, Visionary Integration Professionals (VIP) is a global technology and managed services firm that has provided solutions to over 900 government and commercial clients in various industries. With its mission of “helping clients achieve measurable results,” VIP helps its customers challenge boundaries and uncove...
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The Medicaid Analyst position will be responsible for researching, analyzing, summarizing and categorizing Medicaid Encounter rejects from the state. This opportunity is part of a new team within CVS Caremark fully dedicated to working with Medicaid Response Files. As we are building this new team, we need candidates who will enjoy working with large amounts of data, be able to find creative solut...
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The Medicaid Analyst position will be responsible for researching, analyzing, summarizing and categorizing Medicaid Encounter rejects from the state. This opportunity is part of a new team within CVS Caremark fully dedicated to working with Medicaid Response Files. As we are building this new team, we need candidates who will enjoy working with large amounts of data, be able to find creative solut...
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The Analyst works within the Enterprise Analytics team and is responsible for: Investigating and resolving customer inquires and issues related to Retiree Drug Subsidy and Medicare Part D reporting. The Analyst is also responsible for supporting the enhancement of our existing reporting and modeling tools, and supporting the design and implementation of programs, reports, and analysis to improve c...
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Industry Analysis & Administration is responsible for administering all pharmaceutical manufacturer discount and pricing agreements. Administration includes claims submissions, reporting, invoicing, cash collection, payment reconciliation, and contract performance assessment. The Sr. Contract Data Analyst oversees day-to-day systems and processes for accurate administration including drug class bu...
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Description Description Position Summary: The Senior Business Data Analyst will analyze health and financial information to develop insights that support business decisions about trends on healthcare costs, quality and outcomes. The Analyst will extract, analyze and interpret benefit plan, eligibility, claims, and demographic data from many sources to answer business questions regarding outcomes o...
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TechData is looking for Validation Analyst (6 positions), Sr. Drug Safety Associate, Computer System Quality Assurance, SAS Programmer (Some can be telecommuting), Biostatistician, Sr. Clinical Data Manager for our pharmaceutical clients in SFC, CA. Please see below requirements and send your resume to: dan.chen@techdataservice.com or recruiting@techdataservice.com. TechData offers very competitiv...
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Essence Group Healthcare (EGHC) serves the people who consume care, the professionals who provide care and the organizations that manage care. Our information technology companies give payers and providers the technology and services necessary to adapt and thrive in a new era of value-driven health care. And our unique health insurance business provides consumers comprehensive and affordable cover...
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WellPoint is one of the nation's leading health benefits companies and a Fortune 50 company. This position can be hired at either the BAIII or Consultant level. This position will be hired in our Columbia, MD or Alexandria, VA locations. Resolution Health, a proud member of the WellPoint family of companies, is a health care guidance company dedicated to helping individual’s to gain greater value ...
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About Our Organization OurThe Data Warehouse team is part of the Partners Clinical Performance group, based in Needham. Our office is small and friendly - roughly 150 staff members. With our small team and world-renowned Partners affiliation, we think we have the best of both worlds. We offer challenging work, room for growth and professional development, great co-workers, a casual environment, an...
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Under the direction of the EEO/AA Executive Consultant, carries out the corporate diversity and Affirmative Action/Equal Employment Opportunity Programs in compliance with government legislation and organization goals. Assists in the implementation and evaluation of Enterprise equal employment opportunity (EEO) and affirmative action program plans. Compiles, submits and disseminates required AAP/E...
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Employers Health, a leading-edge employee benefits organization with clients in 28 states, is expanding its staff and is seeking a Member Analytics Specialist. This position supports our member services team by executing ad hoc medical and pharmacy reporting and supports our sales team by providing comparative analyses during the sales process. Experience working with medical and pharmacy data war...
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The Analyst is responsible for providing technical and analytical support for Medicare Part D claims monitoring quality initiatives. The Analyst will be responsible for developing, documenting and executing a repeatable process to support claims reviews and prepare results summaries for Senior Management and client review. The process will involve defining detailed criteria for claims extracts bas...
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The Analyst within Clinical Client Operations works directly with our Clinical Pharmacists and Senior Analysts as well as our internal business partners to support clinical initiatives. Analyst duties will emphasize data analysis for various programs such as Formulary, Specialty Pharmacy, and Utilization Management, especially related to CVS Caremark standard product lists used for RxCLAIM Adjudic...
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Description: UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus: UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innov...
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The Prospective and Pilot Analytics function within CVS Caremark Enterprise Analytics is responsible for contributing comprehensive analytic support to identification, development, and evaluation of emerging CVS Caremark products and services. The Senior Analyst provides data-driven insight on opportunities for new program development and optimization of the existing approaches, supports intervent...
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The Business Analyst is responsible for assisting the Applications Manager or independently managing the solutions planning process throughout the solutions planning and development lifecycle. The Business Analyst leads business teams and cross-competency teams completing tasks related to business solution planning, business case development and documenting and managing customer requirements throu...
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Description: Position Description: Positions in this function work in the analysis phase of the system development cycle and consult with users to evaluate business requirements, identify operating procedures, evaluate existing or proposed systems and prepare detailed specifications from which programs will be written. This function also is intended to include those that also may define business p...
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The Burchfield Group is a nationally recognized pharmacy benefit management consulting and auditing firm founded in 1998 and located in Mendota Heights, Minnesota. What do we do? We save our clients millions of dollars on their pharmacy spend while preserving the quality of their benefit. Burchfield helps plan sponsors evaluate and select PBM vendors, design pharmacy benefit plans, monitor plan an...
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The Contract Analyst (CA) is responsible for end-to-end administration of drug manufacturer brand discount and pricing contracts. This is a complex process which includes contract interpretation and setup within an internal custom invoicing system, maintenance of aforementioned contracts (includes claims, client, drug, formulary, and plan design assessment), claims submissions, reporting, invoicin...
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• Act as the lead analyst in forecasting, budgeting, and preparing the Below the Line (“BTL”) schedule totaling in excess of $1.B annually. • Track and determine financial performance by monitoring variances from plan, and perform analysis of budgeted plans and forecasts to actual results. • Analyze financial results, determine variances, identify drivers and trends, and recommend strategic action...
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