30 benefit and claims analyst jobs found in Bismarck

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Health Data Analyst - Remote Job Description The Health Data Analyst provides information, analyses, and consultation to internal and external stakeholders. This position assesses the performance of pharmacy benefits and/or networks and develops recommendations for improvements or enhancement to support departmental and organizational objectives. This position will participate in the development of new reports, analytical models, and products/benefit programs that align with Prime's strategic imperatives. Responsibilities Assumes responsibility for moderately complex analytic and consultative work such as analyzing and interpreting client pharmacy benefit data, trends and reports and partnering with analytics team...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Drug Rebate Analyst - Remote Job Description The Senior Health Data Analyst provides information, analyses, and consultation to internal and external stakeholders. This position assesses the performance of pharmacy benefits and/or networks and develops recommendations for improvements or enhancement to support departmental and organizational objectives. This position will develop new reports, analytical models, and products/benefit programs that align with Prime's strategic imperatives and will lead high-complexity analysis and special projects supporting the New York Medicaid PDL program. Responsibilities Act as a champion of the consulting and analytic methodology for designated line of business; may...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Pricing Analyst - Remote Job Description The Senior Pricing Analyst participates in the assessment of value generated by Prime's programs and leverages this insight to contribute to the development of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight to internal and external stakeholders. Responsibilities Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of varying complexity within the pharmacy economic supply chain; utilize analytics to explore data, identify trends, and draw profitability,...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Pricing Analyst - REMOTE Job Description The Pricing Analyst maintains, provides analyses, consults and conducts financial modeling in support of Prime's financial pricing programs and/or underwriting functions. This position uses analytics to develop reporting, models and methodologies in support of Prime's financial pricing strategies and assists with high-complexity pricing analyses. Responsibilities Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness & accuracy of Prime's financial pricing programs against adjudicated claims to identify trends and draw insights to provide pricing recommendations Apply mathematical, statistical, and economic techniques to...

Summary: We are seeking a candidate for a key project leadership role leading project controls operations for our Pacific Area, a portfolio of critical strategic importance for Meta's infrastructure growth. The Project Controls Lead will be a technical subject matter expert overseeing all cost controls & commercial deliveries on the program and across multiple General Contractors. This person will be a critical partner for the Delivery Team. Leadership, communication, and organization skills are important in this highly collaborative, analytical, and strategic role. This position will work closely within the DEC (Design, Engineering and Construction) Business Controls team and various internal departments including Site Project Management teams, Pre-Construction, Contracts, Finance, Accounting, Sourcing and Operations Engineering. Required Skills: Area Project Controls Lead Responsibilities: Technical lead in Cost Controls, including budget management,...

Job Description About Oracle Health Oracle Health is on a bold journey to advance how health happens by creating a human-centric experience powered by global data. Our mission is to support clinicians, empower patients, and fuel innovation that saves lives. As part of this transformation, Oracle Health is expanding into Life Sciences and Clinical Trials , building next-generation platforms that accelerate drug development, enable real-world evidence, and improve patient outcomes globally. About the Team The Oracle Health Data Intelligence (HDI) team is redefining how healthcare and life sciences organizations use data and AI to drive innovation. We are building a cloud-first platform that integrates clinical, research, and operational data to power insights across healthcare providers, pharmaceutical companies, and global health systems. Our focus areas include: Population health and clinical data platforms Clinical trials and life sciences...

Job Description About Oracle Health Oracle Health is on a bold journey to advance how health happens by creating a human-centric experience powered by global data. Our mission is to support clinicians, empower patients, and fuel innovation that saves lives. As part of this transformation, Oracle Health is expanding into Life Sciences and Clinical Trials , building next-generation platforms that accelerate drug development, enable real-world evidence, and improve patient outcomes globally. About the Team The Oracle Health Data Intelligence (HDI) team is redefining how healthcare and life sciences organizations use data and AI to drive innovation. We are building a cloud-first platform that integrates clinical, research, and operational data to power insights across healthcare providers, pharmaceutical companies, and global health systems. Our focus areas include: Population health and clinical data platforms Clinical trials and life sciences...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Initial Review Pharmacy Technician Job Description Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while utilizing additional clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. Primary activities center on reviewing both prospective and retrospective requests for therapeutic appropriateness using sound clinical criteria. Responsible for making and receiving calls to and from physicians, patients, and pharmacies to gather...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Pricing Analyst Senior - Remote Job Description The Senior Pricing Analyst participates in the assessment of value generated by Prime's programs and leverages this insight to contribute to the development of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight to internal and external stakeholders. Responsibilities Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of varying complexity within the pharmacy economic supply chain; utilize analytics to explore data, identify trends, and draw profitability,...

Company : Highmark Inc. Job Description : JOB SUMMARY This job performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system. Has a deep understanding of a specific application or set of applications he/she supports, how users use the application, and what other systems integrate with the application. The incumbent understands how work is being conducted, and through analysis, determines solutions to the issue(s). Works with stakeholders to identify solutions that may include training, a process change, or modifications to business rules. Traces business requirements through to test plans and cases, reducing time to fix issues and identify anomalies. The incumbent interfaces with positions that are directly involved in the hard-key programming of applications as roles involved in the analysis of the overall business process(es). Uses functional and organizational...

Job Description As Director of Building Automation , you will define and govern automation strategy for OCI's global data center portfolio. This role sets standards and long-term direction for building management systems, OT controls architecture, cybersecurity, alarming, integration practices, and analytics that underpin safe, efficient, and scalable operations across the fleet. You will lead managers, senior engineers, and strategic vendor partners responsible for automation platforms and standards across multiple regions. This role balances technical vision and execution discipline, ensuring OCI's building automation ecosystem evolves in a consistent, secure, and operationally effective way as the business scales. You will partner across engineering, facilities, IT, security, construction, commissioning, and product teams to align standards, investment priorities, and system capabilities. Responsibilities Lead strategy, governance, and standards for BMS,...

Position Overview We are seeking an experienced, transformative leader to serve as the Director, Field Reimbursement Management for our Nephrology and Central Nervous System (CNS) divisions. This role will lead a team of HCP-facing Field Reimbursement Managers, ensuring optimal patient access and reimbursement support for our specialty products through providing education on various payer processes. Key Responsibilities: Lead, mentor, and develop a high-performing team of Field Reimbursement Managers and/or manage vendor-owned FRMs Establish and implement comprehensive Patient Access and Affordability Strategies Drive post-prescribing performance through strategic planning and execution Ensure compliance adherence through in-field visits, call and case monitoring, aligning operations with legal requirements Develop and implement program enhancements aligned with Brand and Sales leadership goals Partner with Managed Markets and other...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Evolent Health is looking for a Senior Analyst, MSK/RBM Performance to support the performance, optimization, and strategic growth of our Musculoskeletal (MSK) and Radiology...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Underwriter Sr - Remote Job Description The Senior Underwriter is responsible for achieving profit, growth, service and expense objectives through the financial analysis and pricing of Prime's book of business. Under minimal supervision, the Senior Underwriter serves as an expert consultant on matters pertaining to underwriting, performance guarantees and other financial considerations. Provides underwriting services to determine pricing and monitors accounts to ensure they remain on a profitable basis. Maintains and applies knowledge of pricing strategies in the PBM industry. Maintains a positive working relationship with Sales, Marketing and Client Engagement and other key business owners within Prime. Responsibilities...

Job Description Oracle is seeking a US-based Principal Energy Program Manager, reporting to the Vice President of Infrastructure Capacity and Planning. As an energy procurement leader, you will have day-to-day responsibility for shaping and driving Oracle's approach to energy procurement, specifically [onsite/offsite] electricity and gas, as well as supporting broader team efforts around energy innovation, hedging strategies, renewable energy and sustainability. As part of Oracle, we have a goal to reach 100% renewable energy, halve our global operational emissions by 2030 and reach net zero by 2050. Sustainable and scalable energy procurement is growing in focus across our business and this role will provide critical expertise and execution across Oracle Cloud data centers. Responsibilities Responsibilities · Responsible for day-to-day management of Oracle Cloud's data center energy strategy across specific markets - with near term priority in U.S. deregulated...

The Medical Director, Global Medical Strategy (Rheumatology & Dermatology Pipeline) is a critical role responsible for shaping the strategic processes and planning for assets in early development (pre-Phase 3) within the Nephrology and Immunology portfolio. This position manages the unique challenge of?establishing?an emerging portfolio, incorporating newly?acquired?assets, which requires significant scientific and strategic agility and?a?strong?ability to balance competing priorities. This position reports directly to the Senior Medical Director, Global Medical Strategy Franchise Lead. Key Responsibilities Include: ? Medical Strategy & Narrative ? Provide key medical input into the?initial?development of the?Target Reimbursable Product Profile?as well as early development plans ensuring scientific consistency and alignment across R&D, Clinical,?Global?Medical Affairs, and Early Commercialization?functions?? Provide high-quality scientific/clinical...

Summary: We are seeking a candidate for a key project leadership role leading project controls operations for our Pacific Area, a portfolio of critical strategic importance for Meta's infrastructure growth. The Project Controls Lead will be a technical subject matter expert overseeing all cost controls & commercial deliveries on the program and across multiple General Contractors. This person will be a critical partner for the Delivery Team. Leadership, communication, and organization skills are important in this highly collaborative, analytical, and strategic role. This position will work closely within the DEC (Design, Engineering and Construction) Business Controls team and various internal departments including Site Project Management teams, Pre-Construction, Contracts, Finance, Accounting, Sourcing and Operations Engineering. Required Skills: Area Project Controls Lead Responsibilities: Technical lead in Cost Controls, including budget management,...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Underwriter - REMOTE Job Description The Senior Underwriter is responsible for achieving profit, growth, service and expense objectives through the financial analysis and pricing of Prime's book of business. Under minimal supervision, the Senior Underwriter serves as an expert consultant on matters pertaining to underwriting, performance guarantees and other financial considerations. Provides underwriting services to determine pricing and monitors accounts to ensure they remain on a profitable basis. Maintains and applies knowledge of pricing strategies in the PBM industry. Maintains a positive working relationship with Sales, Marketing and Client Engagement and other key business owners within Prime....

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title IT Systems Analyst (Data Analyst) - Clinical Vendor Solutions - Remote Job Description The IT Systems Analyst is responsible for supporting Prime's MTM (Medication Therapy Management) program by serving as a key liaison between Information Technology and the business. This role utilizes Prime's delivery methodologies to investigate, identify, document, and translate business application requirements into effective technical solutions. The analyst supports both enhancements to existing applications and the development of new solutions, with a strong focus on system and data integrations across internal platforms, external vendors, and client environments. Responsibilities Define, document, and maintain...

Summary: We are seeking a candidate for a key leadership role in scheduling for a portfolio of Data Center projects of strategic importance to Meta. The Area Schedule Lead, Leased will act as a technical Schedule subject matter expert overseeing all schedule management and reporting for the Leased portfolio of projects.The successful candidate will have focus on speed to market and be a critical partner for the Delivery Team and the Project Controls Lead to forecast and help mitigate schedule related risks and issues on the project, enable commercial accountability, manage schedule health reporting/escalation, and ensure that schedule change management is effective and expedient.This position will work closely within the DEC Technical Operations team and various internal departments including Site Project Management teams, Pre-Construction, Contracts, Finance, Accounting, Sourcing and Operations Engineering. Required Skills: Area Schedule Lead, Leased Data Centers...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Data & Reporting Analyst Sr - Remote Job Description The Senior Data & Reporting Analyst is responsible for supporting the business in decision making and operations efforts by providing data, reporting and business intelligence services. This role is responsible for acting as a data and reporting expert for other members of the Reporting and Analytics team. Responsibilities Develop reporting solutions following internal reporting standards and best practices by translating business requirements for development within multiple reporting and prototyping platforms and determining appropriate solution design Maintain and improve the reliability, efficiency and functionality of existing reports...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title IT Systems Analyst (Data Analyst) - Clinical Vendor Solutions - Remote Job Description The IT Systems Analyst is responsible for supporting Prime's MTM (Medication Therapy Management) program by serving as a key liaison between Information Technology and the business. This role utilizes Prime's delivery methodologies to investigate, identify, document, and translate business application requirements into effective technical solutions. The analyst supports both enhancements to existing applications and the development of new solutions, with a strong focus on system and data integrations across internal platforms, external vendors, and client environments. Responsibilities Define, document, and maintain...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Data & Reporting Analyst Sr - Remote Job Description The Senior Data & Reporting Analyst is responsible for supporting the business in decision making and operations efforts by providing data, reporting and business intelligence services. This role is responsible for acting as a data and reporting expert for other members of the Reporting and Analytics team. Responsibilities Develop reporting solutions following internal reporting standards and best practices by translating business requirements for development within multiple reporting and prototyping platforms and determining appropriate solution design Maintain and improve the reliability, efficiency and functionality of existing reports...

Otsuka is seeking an experienced Director of Statistics to join our Data Science and AI group to provide statistical leadership and solutions to efficient phase 3b/4/Real-World-Evidence (RWE) study design, global Health Technology Assessment (HTA) and regulatory requirements on advanced statistics needs for our portfolio across therapeutic areas and indications. This role will lead statistical innovation and data insights in HTA and Integrated Evidence Plan (IEP), including efficient statistical design and execution of late-phase clinical trials and real-world studies, AI/ML-based population enrichment, Bayesian methods, RWD/external control, and collaborate closely with cross-functional teams including Global Value Evidence, Global Medical Affairs, Market Access, Regulatory, Biostatistics, Global Clinical Development and Clinical Management. Key Responsibilities: Strategic Leadership in Advanced Statistics : Provide expert statistical guidance for late-phase...