Pharmacy Program Optimization Analyst
Tasks
- Advise stakeholders on compliance changes
- Analyze EHR data and pharmacy utilization
- Confirm program eligibility
- Develop program policies and procedures
- Forecast budget impact
- Generate audit reports
- Identify trends and anomalies
- Improve claim capture
- Investigate root causes of uncaptured claims
- Monitor pharmacy claims
- Review HRSA OPAIS updates
- Review carve out logic and payer status
- Review claims reimbursement policies and best practices
- Support program workflow efficiency
- Track and analyze monthly savings
- Troubleshoot EHR and pharmacy operating system issues
Perks/Benefits
- Dental insurance
- Long-term disability
- Medical insurance
- Paid time off
- Professional development
- Short-term disability
- Vision insurance
Skills/Tech-stack
Cause analysis | Claim Capture | Data Analysis | Data Manipulation | Data reporting | EHR | Healthcare terminology | Microsoft Excel | Root Cause Analysis | Root cause | SQL
Related jobs
-
Analyst, Fulfillment Strategy USD 75K-85KCapacity Planning | Chain management | Customer Service | Data Analysis | Demand Planning401k plan | Dental insurance | Education assistance | Hybrid work policy | Medical insuranceEntry-level Full TimePortland, OR, US R4h ago
-
Product Data Analyst USD 115K-151KA/B | A/B Testing | Activation | Airbyte | Apache FlinkAutonomy | Collaboration | Remote work | Remote-first companyEntry-level Full TimeUSA - West Coast R8h ago
-
Sr. Data Analyst (Product Analytics) USD 100K-139KAmplitude | Cohort Analysis | Dashboards | Data Modeling | Data PipelinesSenior-level Full TimeSan Francisco, CA11h ago
-
Data Scientist USD 160K-245KAmazon EFS | Amazon S3 | BI Dashboards | Data Modeling | Data Pipelines401k matching | Hybrid work model | In-office meals | Paid parental leave | Pension contributionsSenior-level Full TimeNew York, New York, United States R11h ago
-
2027 Quantitative Analytics Summer Internship Risk Analytics and Decision Sciences (Masters) – Early Careers USD 80K-86KData Analysis | Data Management | Data Visualization | Generative AI | JavaExposure to senior leaders | Mentorship | Networking opportunities | Onsite onboarding | Speaker seriesEntry-level Full Time Internship141753-NC-Three Wells Fargo Center, Charlotte, United …11h ago
-
Artificial Intelligence | C++ | Data Analysis | Data Management | Data VisualizationExposure to senior leaders | Mentorship | Mentorship program | Technical trainingEntry-level Full Time141753-NC-Three Wells Fargo Center, Charlotte, United …11h ago
-
2027 Quantitative Analytics Program – Risk Analytics and Decision Science (PhD) – Early Careers USD 72K-86KApache Spark | Artificial Intelligence | Data Management | Data Visualization | Generative AIExposure to senior leaders | Mentorship | Project Rotations | Relocation Support N/A | Technical trainingEntry-level Full Time141753-NC-Three Wells Fargo Center, Charlotte, United …11h ago
-
Applied Probability | Artificial Intelligence | C++ | Data Engineering | Data VisualizationExposure to senior leaders | Mentorship | Rotational projects | Technical trainingEntry-level Full Time141753-NC-Three Wells Fargo Center, Charlotte, United …11h ago
-
2027 Quantitative Analytics Program – Risk Analytics and Decision Science (Masters) – Early Careers USD 80K-86KApache Spark | Artificial Intelligence | Data Engineering | Data Management | Data VisualizationExposure to senior leaders | Mentorship | Rotational assignments | Technical trainingEntry-level Full Time141753-NC-Three Wells Fargo Center, Charlotte, United …11h ago
-
Lead, Audience Data Analyst USD 115K-158KAdobe Experience | Adobe Experience Platform | Audience Segmentation | Data Modeling | Data integration401k retirement savings plan | Life insurance | Long-term disability | Medical, dental, and vision benefits | Occasional travel for training and meetingsSenior-level Full TimeRemote US, United States R11h ago
-
Senior Analyst, Strategic Analytics USD 129K-177KAirflow | COGS Analysis | Contribution Margin | Cost analysis | DBT401k contribution | Fully remote | Health benefits | Paid time off | Sick time offSenior-level Full TimeUnited States - Remote R13h ago
-
DBA/Data Analyst I USD 67KAccess Control | Artificial Intelligence | Auditing | Backup and Recovery | Capacity ManagementOn-call rotation | Valid driver's licenseMid-level Full TimePolice & Communications, Midland, TX13h ago
-
Analyst, Client Experience & Optimization USD 82K-102KAgile | Business Process | Business Process Mapping | Dashboarding | Data QualityHealth insurance | Hybrid work schedule | Paid time offMid-level Full TimeCharlotte, North Carolina, United States14h ago
-
Analyst, Client Experience & Optimization USD 90K-113KAgile | Business Process | Business Process Mapping | Dashboard Development | Data AnalysisHealth insurance | Hybrid work schedule | Paid time off | Retirement planMid-level Full TimeDenver, Colorado, United States14h ago
-
Analyst, Client Experience & Optimization USD 98K-123KBusiness Process | Business Process Mapping | Cause analysis | Dashboard Reporting | Data QualityHealth insurance | Hybrid work schedule | Retirement planMid-level Full TimeNew York, New York, United States14h ago
-
Senior Data Analyst USD 145K-180KAgile | Confluence | DBT | DBT Cloud | Data Architecture401k match | Commuter benefits | Flexible spending account | Health and wellness stipend | Home office reimbursementSenior-level Full TimeRemote (National) R14h ago
-
Data Analyst, L&G - Asset Management, America USD 95K-122KBusiness Requirements | Cause analysis | Dashboards | Data Analysis | Data Quality401k | Commuter and transit programs | Dental insurance | Employee assistance program | Flexible spending accountsMid-level Full TimeChicago, IL, United States15h ago
-
Staff Data Analyst USD 133K-180KData Modeling | Data Visualization | Python | R | SQLBonus | Equity awards | Financial benefits | Medical benefitsSenior-level Full TimeNovato, California, United States16h ago
-
Data Analyst USD 66K-100KDashboarding | Data Pipelines | Data Quality | Data Validation | Data VisualizationMid-level Full TimeSalt Lake City, UT, United States18h ago
-
Sr. Data Analyst, Service Analytics USD 100K-138KData Quality | Data analytics | ETL | Python | SAP401k retirement plan | Dental insurance | Life and disability coverage | Medical insurance | Paid HolidaysSenior-level Full TimePhoenix, AZ19h ago
-
Data Scientist - Metrology USD 81K-112KData Quality | Data Validation | Data Visualization | Data cleaning | Data quality monitoring401k match | Dental insurance | Medical insurance | Paid Holidays | Paid time offMid-level Full TimeHickory, North Carolina, United States20h ago
-
Senior Data Scientist / Analyst, Institutional USD 150K-207KAdverse Selection | Blockchain Analytics | Data Modeling | Fee Rebate Economics | Inventory Risk401k match | Dental insurance | Equipment reimbursement | Health insurance | Unlimited PTOSenior-level Full TimeNew York20h ago
-
Senior Data Scientist / Analyst, Risk USD 150K-200KAML | Anomaly Detection | Blockchain forensics | Clustering | Fraud Detection401k match | Hardware setup | Health, vision, dental coverage | Unlimited PTOSenior-level Full TimeNew York20h ago
-
Senior Data Scientist / Analyst, Growth USD 150K-200KCAC | Causal Inference | Cohort Analysis | Conversion Rate | Experimentation401k match | Hardware setup | Health, vision, dental coverage | Unlimited PTOSenior-level Full TimeNew York20h ago
-
Senior Data Scientist / Analyst, Finance USD 150K-195KAccrual accounting | BigQuery | Causal Inference | ClickHouse | DBT401k match | Hardware provided | Health, vision, dental coverage | Unlimited PTOSenior-level Full TimeNew York20h ago