Pharmacy Claims Optimization & Analytics Analyst
AndHealth LLC
AndHealth LLC in Columbus, OH is seeking a Pharmacy Program Optimization Analyst to maximize efficiency of partner federal drug pricing programs and enhance revenue capture across pharmacy initiatives. You will monitor claims data from EHRs and pharmacy systems, analyze trends, troubleshoot live issues, and partner with providers to align billing configurations and optimize program outcomes. This role requires strong analytical skills, attention to detail, and the ability to translate data into #J-18808-Ljbffr AndHealth LLC
- AndHealth is seeking a Pharmacy Program Optimization Analyst in Columbus, OH, to maximize the efficiency of federal drug pricing programs. The role focuses on optimizing claim capture, data analysis, and collaboration with FQHCs,TPAs, and pharmacy operations to improve...Claims
- ...Pharmacy Program Optimization Analyst Full Time Columbus, Ohio AndHealth is on a mission to radically... ...capture across multiple pharmacy claim initiatives. What you’ll do in... ...Mastery of Microsoft Excel and other analytics tools for advanced data manipulation...ClaimsFull timeContract workTemporary work
- ...The Clinical Pharmacist/Analyst is responsible for the critical... ...of customer claims data to assess the customer... ...combining clinical expertise, analytical capabilities, and deep understanding... ...supported and optimizes the value of their pharmacy benefit. Additionally, the...ClaimsContract workWork experience placementWork at office
- ...A leading healthcare institution is hiring a Pharmacy Audit and Reconciliation Coordinator to manage the pharmacy claims workflow and drive revenue cycle improvements... ...regulations. Successful candidates will have strong analytical and communication skills, and a commitment to...Claims
- ...faster, more consistent, and more accurate claims outcomes. Our portfolio spans both... ...critical.We are seeking a Model Monitoring Analyst to design, build, and operate the systems... ....3+ years of experience in data analytics, data science, ML engineering, or a related...ClaimsWork at officeLocal areaRemote work2 days per week
$129.3k - $177.8k
...caring community The Actuary, Analytics/Forecasting analyzes and... ...strategies, financial trends, medical claims drivers, and the organization... ...A minimum standard speed for optimal performance of 25x10 (25mpbs... ..., hospice and retail pharmacy, CenterWell is focused on whole...ClaimsFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...fraud governance across the enterprise. You will collaborate with claims, underwriting, and legal teams to detect, prevent and mitigate... ...in a highly regulated environment. The role emphasizes data analytics, AI/automation, and regulatory reporting, with opportunities to...Claims
- ...Resource Center (GRC) invites applications for a Reporting and Analytics Analyst position. A successful applicant may engage in applied health... ...construction using administrative data such as Medicaid claims or population health survey data. Compose reports, whitepapers...ClaimsFor subcontractorRemote work
- ...Description Job Description Analytics Engineer, Care... ...layer that lets an analyst self-serve a trusted metric... ...should do next across pharmacy and care operations.... ..., and performance-optimized transformations across... ...pharmacy, billing, or claims from EHRs, TPAs, or pharmacy...ClaimsFull timeTemporary workDay shift
$65k - $75k
...**Procurement: The Contract Analyst will play a critical role within... ...system, and providing analytical support through reporting and... ...access management, and workflow optimization. **Workflow Management:***... ....* Analyze vendor pricing claims and assist in negotiating settlements...ClaimsContract work- Horton Emergency Vehicles is seeking a Warranty Analyst to review and adjudicate warranty claims and coordinate with OEMs, suppliers and internal teams.... ...a technical degree or equivalent experience, strong analytical skills, proficiency with MS Office and warranty software...Claims
$24 per hour
...9 # of Openings: 4 Onco360 Pharmacy is looking for Pharmacy Benefit... ...of benefits, run test claims to obtain a valid insurance response... ...claim response and determine optimal reimbursement, then document... ...medication, basic math and analytical skills, Intermediate typing/keyboarding...ClaimsFull timeTemporary workWork experience placementRemote workRelocation packageMonday to FridayFlexible hoursShift work- ...the status quo, and striving to be best-in-class.As a Strategic Analytics Associate in Business Banking Risk, you will generate data‑... ...quantitative analytics and business intuition. Strategies are optimized to maximize profitability while minimizing risk.Develop and maintain...
- ...state Medicaid regulations, optimizing funding mechanisms, facilitating... ...-eligible services. Monitor claims submissions to ensure they... ...Job Title: Vendor Management Analyst Location: Remote At Pearson... ...effectively. Excellent organizational, analytical, and communication skills....ClaimsFull timeWork at officeRemote workShift work
- ...experience, including severity, frequency, claim closure patterns, social inflation,... ...casualty, reserving, or a closely related analytical area; experience with General Liability... ...for resolving unreasonable results/non-optimal solutions using experience and professional...ClaimsFull timeTemporary workPart timeCasual workWork at officeRemote workShift work
- ...house, at scale, in Columbus, Ohio. Senior Business Analyst We are hiring a Senior Business Analyst to sit at the... ...domains including shipping, conversion rate optimization, inventory, pricing, workforce analytics (HR), and sales performance Translate ambiguous business...Full time
- The Consultant, Technology Analyst supports both Run (incident management, production stability... ...work across Insurance, Reinsurance, and Claims technology platforms. This team supports... ...applications. This role requires strong analytical skills, insurance domain knowledge, SQL...ClaimsWork at officeFlexible hours
- ...performing data entry, adjudication of insurance claims, filling and providing medications to... ..., as necessary Reports to : Pharmacy Manager Supervises: N/A Dress Requirement... ...compounding Attention to detail, analytical skills, admirable customer service and...ClaimsFull timeTraineeshipWork at officeMonday to Friday
$111.2k - $185.3k
...develop, and deliver clinical and analytical content for virtual and on-... ...Requirements:Doctorate in Pharmacy from an accredited college or... ...and long-term initiatives to optimize RxSS procedures and future offeringsDesire... ...with data files, pharmacy claim utilization, and data...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaRemote work$4,326.92 per month
..., 2026 for consideration. The Summer Analyst Program The Summer Analyst Program at... ...training sessions to learn sophisticated analytical and statistical techniques used in our... ...projects. Current exemplary matters include claims of anticompetitive conduct, potential...ClaimsFull timeSummer workCasual workInternshipH1bLocal areaImmediate startVisa sponsorship$112.5k
...September 13, 2026 for consideration. The Analyst Role As an Analyst, you will play an... ...testimony. Every case presents a new analytical challenge. What does case work at... ...projects. Current exemplary matters include claims of anticompetitive conduct, potential...ClaimsFull timeWork experience placementInternshipH1bWork at officeLocal areaRemote workVisa sponsorship- ...Summary The Lead Reimbursement Analyst serves as a working team lead... ...resolve denied or underpaid claims; research and apply payer... ...direct reimbursement, specialty pharmacy, hub services, or patient... ...problem-solving, research, and analytical skills (Required) Ability...ClaimsFull timeTraineeshipWork at officeRemote workMonday to FridayShift work
- ...thinking outside the box, challenging the status quo and striving to be best-in-class.As an Associate on the Card Risk Portfolio Analytics Team, you will design and deliver analytical projects aimed at understanding emerging credit risks. You will be responsible for building...
- ...administration, including premium allocations and claim reimbursements Recommend and implement... .../insurance designation preferred Strong analytical skills Excellent verbal and written... ...Excel Skills ARM Certification ATS Optimization Keywords Hard Skills Risk Exposure Analysis...ClaimsWork at officeRemote work
- About the job Data Analyst / Entry Level - Remote This position will help develop new reporting and analytical tools that will support our drive to 5-star performance for Central... ...Experience in Medicare Advantage plan and Claims Excellent analytical and problem-solving...ClaimsRemote jobWork experience placementLocal area
- ...are seeking an experienced Sr. Actuarial Analyst to join our team, focusing on risk... ...a blend of technical actuarial skills, analytical expertise, and experience within the general... ...Experience working with large data – Policy, claims , external data Proven expertise in risk...ClaimsWork experience placement
$33 - $34 per hour
...Position Summary The ProviderPay Data Analyst will be responsible for analyzing complex... ...datasets related to provider payments, claims, and reimbursement. Develop and maintain... ...Science, Statistics, Finance, Business Analytics, or a related field. Critical Skills 2...ClaimsHourly payRemote work- EXPRESS is looking for a Customer Data Analyst in Columbus, Ohio to enhance customer insights and optimize reporting. This role requires a Bachelor's degree in Analytics or Data Science and demands expertise in data analysis, particularly in customer file KPIs, marketing...
$81.07k - $129.71k
...Blue Cross NC is seeking an Actuarial Analyst to support rating and pricing, valuation... ...Enterprise Risk Management. Provides analytic support for corporate and departmental projects... ..., organizations, and internet sites claiming to represent Blue Cross and Blue Shield...ClaimsWork at officeLocal areaRemote workFlexible hours2 days per week$118.69k - $189.91k
...performance. Lead a team of analytics professionals while partnering... ...feedback programs, process optimization efforts, association... .... Lead a diverse team of analysts, engineers, and scientists to... ...organizations, and internet sites claiming to represent Blue Cross and...ClaimsWork at officeLocal areaRemote workFlexible hours2 days per week
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