Remote Pharmacy Audit Data Analyst - Claims & Rebates
Milliman
- Remote job
Milliman, Inc. in San Diego is seeking a Pharmacy Audit Data Analyst to analyze pharmacy claims, rebates, and guarantees, translating contract terms into data definitions and audit logic. You will work hands-on in SQL with large data sets, build data quality checks, and prepare client-ready exhibits and reports. This role may be performed remotely within the United States; join the Pharmacy Benefits Audit team within the San Diego Health practice. #J-18808-Ljbffr Milliman
- ...Health Data Analyst (Remote)The Health Data Analyst provides information, analyses, and consultation... ...position assesses the performance of pharmacy benefits and/or networks and develops... ...working with large sets of pharmacy, claims, medical, and/or financial dataPrevious...Remote workClaimsWork experience placementWork visa
- ...accuracy and reliability of healthcare-related data, the full-time remote Data Quality Analyst will monitor data quality metrics, validate audit data, and support data governance... ...BI platforms) Experience in healthcare claims, coding, billing, or audit environments is...Remote workClaimsFull time
- ..., dental, behavioral health, pharmacy, health education, nutrition... ...underserved. The Healthcare Data Analyst is a healthcare information professional... ...has the option to work remotely with occasional on-site... ...Integration of Medicaid claims costs to assess revenue and savings...Remote workClaimsWork at office
$87.69k - $131.54k
DescriptionThis is a 100% remote position - requires 1 day onsite a year... ..., New York, NY locationThe Data Science Analyst II serves as a senior member of the Pharmacy Analytics team, advancing Mount... ...information technology, enrollment, claims, pharmacy, clinical, contract,...Remote workClaimsContract workTraineeshipLocal area$80k - $100k
...The Senior Epic Data Acquisition Analyst leads the Data Acquisition Team's engagements... ...extraction of clinical, pharmacy, scheduling, referral, and... ...complete, accurate, and audit-defensible data delivery.... ...Position Location This is a remote-based position within the...Remote workFull timeTemporary workWork at officeFlexible hours- ...expensive and inefficient Pharmacy Benefit Management (PBM) sector... ...: As a Financial Analyst on the Account Management... ...will serve as the primary data subject matter expert (SME... .... Interpret pharmacy claims data, trend analysis, and rebate projections to provide “the...Remote jobClaimsFull timeTemporary workWork at officeFlexible hoursShift work
- VytlOne is seeking a 340B Pharmacy Claims Reviewer to perform scheduled reviews of prescription... ...compliance and savings. Responsibilities include audits, resolving reconciliation issues,... ...reviews, and documenting findings. Remote work is available with a competitive benefits...Remote jobClaims
- ...Pharmacy Claims And Rebates Audit Consultant We are seeking a talented individual to join our Health & Benefits team, part of our People and Investments... ..., applying deep working knowledge of pharmacy claims data and every claim field and component (e.g., NDC, days'...ClaimsContract workWork at office3 days per week
$3,000 - $4,999 per month
Career Opportunities: Data Analyst III (Office of Finance) (22017) Posting... ...improvements. Full time remote worker. Essential Job Functions... ...changes. Performs user access audits and certifications.... ...financials software/applications, claims processing engines, SQL, R, SAS...Remote workClaimsFull timeTemporary workPart timeWork at officeFlexible hoursShift work$72.8k - $130k
...outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their... ...Data Management Business Systems Analyst role is key to continued growth and... ....You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- Job Description - Pharmacy Billing Specialist - Outpatient Specialty (26000... ...sources. The role also involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical... ...Circle, Tampa, 33601 Eligibility for Remote Work Hybrid Remote Job Pharmacy...Remote workClaimsFull timeMonday to FridayShift workDay shift
- ...Orientation (NBO) Job - Remote Managed Care... ...Prior Authorizations, Audits, Appeals, ALJ Court hearings... ...provision of clinical pharmacy services to members of... ...pharmacy and medical claims; interacting with, assessing... ...Ability to work with data analysts to develop monitoring...Remote workClaimsLocal areaWeekend work
- ...Birdi, we're transforming the pharmacy experience through innovation,... ...financial reports, supporting audits, and ensuring compliance with... ...operations. Familiarity with claims processing and reimbursement... ...Learning Work Environment Remote or office-based work...Remote workClaimsFull timeWork at officeLocal areaWeekend work
- ...alternative application process. Pharmacy Data Analyst Full Time Clerical Wheeling,... ...in pharmacy and medical claim data reporting.... ...Createandmaintainthepharmacyexecutivemanagementfundsdashboard(drugspends, rebates, savings, PMF, etc.) Assist... ...reports from internal audit findings and work with PBM...ClaimsFull time
$75k
...Accountant. Onco360 Pharmacy is a unique oncology pharmacy... ...and manufacturers. Remote position may be... ...the ability to analyze data, identify issues and provide... ...and reviewing claim level transactions, reconciling... ...to perform annual audit. Position Qualifications...Remote workClaimsTemporary workWork experience placement$102.5k - $204.5k
...week in the office. As a Pharmacy Audit Lead Consultant, you will lead complex pharmacy claims and pharmacy rebate audits from planning... ...knowledge of pharmacy claims data and every claim field and component... ...the flexibility of working remotely and the collaboration,...Remote workClaimsMinimum wageContract workWork at officeLocal areaFlexible hours3 days per week1 day per week- ...most innovative long-term care pharmacy services providers, there is... ...WITH POTENTIAL TO GO HYBRID OR REMOTE BASED ON PERFORMANCE. If you enjoy... ...balances and resolve rejected claims. You will also assist with... ...payments, statement inquiries, audits, and collection activities...Remote workClaimsFull timeTemporary workWork at officeMonday to FridayFlexible hours
$130k - $140k
...providing innovative and efficient pharmacy services to healthcare... ...debt obligations. Location: Remote Eligible (U.S. Only) Salary... ...coverage adequacy. Support claims management and risk mitigation... ...decision-making. Assist with audit requests and treasury-related...Remote workClaimsTemporary workMonday to Friday- ...PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the... ...for those who are willing to learn claims, billing and insurance processing. Pharmacy... ...Participate in month-end closing and audits as necessary Provides customer support...Remote workClaimsContract workInterim roleWork at officeLocal areaFlexible hoursShift work
$78.8k - $145.13k
DescriptionWe are seeking a Pharmacy Benefits Audit Operations Analyst to join our Pharmacy Benefits... ...position may be performed remotely. The analyst will support 20... ...engagements by analyzing pharmacy claims, eligibility, rebate, and pricing data using Excel and SQL, and by...Remote workClaimsFull timeTemporary workWork experience placementWork at officeWorldwideFlexible hours- ...are looking for a detail-oriented Data Analyst to support fee schedule oversight and claims-related analysis for healthcare... ...visibility operational work in a remote environment.Responsibilities:• Review... ...-based summaries, trackers, and audit files to support routine review...Remote workClaimsLong term contractFlexible hours
$115k - $150k
...qPL0000087uNRYAYValid through: 2027-08-20Title: Data Engineer / Senior Data Engineer - Healthcare DataLocation: 100% Remote - United States (CST/EST Hours)Salary Range: $... ...data technologies to improve how critical claims, enrollment and quality information is processed...Remote workClaims- ...Data Integration Analyst, AI & Risk Adjustment Remote Opportunity About Reveleer Reveleer delivers a unified platform... ...readiness needed to navigate audits with confidence. Why This Role... ...location, chart-retrieval detail, claims, and other source data, rather than...Remote jobClaimsFull timeLocal area
- ...program, the full-time remote 340B Inventory Analyst will oversee pharmacy inventory management, wholesaler... ..., including preparing claims and resolving submission... ...related to 340B rebate models, tracking submissions... ...and experience with data analysis and reporting...Remote workClaimsFull time
- ...Wisconsin communities. Network Health is seeking an Encounter Data Analyst to support the critical encounter data functions for our Medicaid... ...vendors and clients as well as key internal departments (i.e. claims, enrollment, provider, IT etc.)Act as a liaison between...Remote workClaimsFull timeWork at officeLocal areaWork from homeHome office
- ...costs through intelligent data management, pharmacy optimization, and value-driven... ...of medical and pharmacy claims for assigned clients across... ...Participate in quality assurance audits and training. Maintain... ...Paid Time Off Location: Remote with limited travel to client...Remote workClaims
$110k - $125k
...opportunity for a Senior Healthcare Data Analyst, Health Plan Strategy to... ...can turn complex medical, pharmacy, clinical, financial, and... ...Wednesday and the option to work remotely Thursday and Friday. Job... ...with medical and/or pharmacy claims data. ~ Hands-on experience...Remote workClaimsFull timeWork at officeLocal areaWorldwide- ...are seeking an experienced Data Governance Analyst to support a large public-sector... .... Location: 100% Remote Role: Data Governance Analyst... ..., PHI/PII, access controls, audits, and risk assessments •... ...member, eligibility, claims, provider, patient/PHI, or similar...Remote workClaims
- ...services organization is seeking a Health Care Data Analyst to provide high-level analysis related to Medicaid. This remote position requires a Master's degree in public... ...experience. The role includes managing healthcare claims data, developing analytic systems, and...Remote workClaims
$120k - $140k
...Sr. Data Analyst Location: Remote in the United States (ET/CT) | Travel: Occasional travel to NYC or Atlanta Employees: 50 | Industry: SaaS... ...how AI search systems retrieve/cite sources, validating claims via research (not industry commentary), defining product...Remote workClaims
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