44 benefit and claims analyst jobs found

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 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...

Summary: We are seeking a candidate for a key project leadership role leading project controls operations for our Leased program, a portfolio of critical strategic importance for Meta's infrastructure growth. The Project Controls Lead will not only be a technical subject matter expert overseeing all cost controls & commercial deliverables on the program and across multiple Vendors and Landlords, but also lead a team of analysts representing Meta that will manage invoicing, commitments, financial reporting, and commercial management for the program.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...

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 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 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...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Tax - Indirect Tax - Sales & Use Lookback Review COE - Manager Will you shape the future or will the future shape you? The opportunity Our Sales and Use Tax Lookback Review COE is a national team which leads large multi-state, sales and use tax recovery projects for EY's largest clients. It's here you'll find everything you need to continue to develop as a multi-state, sales and use tax practitioner. It's all about taking on new skills and responsibilities as they arise and making the most of our dedicated mentors and training programs. Handling multi-state sales/use tax recovery projects for large, sophisticated organizations takes more than just a technical understanding of current sales and use tax...

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 and Reporting Analyst - Remote Job Description The 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 working with the business and converting data into meaningful and actionable reporting solutions. Responsibilities Develop reporting solutions following internal reporting standards and best practices by collecting, validating, interpreting, and organizing various types of data into meaningful reports and/or summaries for designated client groups Maintain and improve the reliability, efficiency and functionality of existing reports Facilitate...

Job Description Role Overview As a Reliability Engineer, you will apply data-driven analysis and engineering problem-solving to improve availability and reduce risk across mission-critical facility systems. You will identify failure patterns early, drive corrective actions, and build tooling and metrics that improve reliability at scale. Key Responsibilities Monitor and analyze operational telemetry, alarms, and performance trends to identify emerging risks and reliability degradation. Define and track reliability KPIs; deliver concise analysis and recommendations that drive operational and engineering decisions. Develop and maintain analytics and reporting tools using Python, SQL, and/or DCIM/BMS/SCADA data sources. Support and/or lead RCAs and corrective action tracking for recurring or high-impact issues, ensuring follow-through and verification. Partner with operations and engineering teams to improve preventive strategies, automation...

Job Summary This position will execute and maintain master data policies, collect and protect agreed master data standards, and promote a need for fit-for-purpose master data to support business processes. Partner with IT on system enhancements; provide requirements and testing support for master data process improvements. The position is to ensure high-quality master data and to advance the use of master data critical to SAP, acting as the primary operational point of contact for master data requests and issue resolution to stakeholders. Additionally, you'll address challenges in master data management and governance, set up a governance model with appropriate business accountabilities, and utilize innovative technologies to streamline master data processes. This role will also assist the FP&A team with management reporting for domestic and global leadership. This role requires a strategic thinker with strong analytical skills and the ability to manage cross-functional...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. From strategy to execution, the Government & Public Sector (GPS) practice of Ernst & Young LLP provides a full range of consulting and audit services to help our Federal, State, Local and Education clients implement new ideas to help achieve their mission outcomes. We deliver real change and measurable results through our diverse, high-performing teams, quality work at the highest professional standards, operational know-how from across our global organization, and creative and bold ideas that drive innovation. We enable our government clients to achieve their mission of protecting the nation and serving the people; increasing public safety; improving healthcare for our military, veterans and citizens; delivering essential public services;...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. From strategy to execution, the Government & Public Sector (GPS) practice of Ernst & Young LLP provides a full range of consulting and audit services to help our Federal, State, Local and Education clients implement new ideas to help achieve their mission outcomes. We deliver real change and measurable results through our diverse, high-performing teams, quality work at the highest professional standards, operational know-how from across our global organization, and creative and bold ideas that drive innovation. We enable our government clients to achieve their mission of protecting the nation and serving the people; increasing public safety; improving healthcare for our military, veterans and citizens; delivering essential public services;...

Summary This position is located within the Veterans Affairs John D Dingell VA Medical Center. The certified GS-9 Pharmacy Technician Supervisor is responsible for the supervision of all Pharmacy non-pharmacist technical staff and volunteers. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Federal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. This job is open to current permanent Department of...

Summary With a talented workforce of over 100,000 people, the mission of the Department of Justice is to uphold the rule of law, keep our country safe, and protect civil rights. You will be part of a dedicated team enforcing Federal criminal laws to protect life, liberty, and the property of citizens. As needed, additional positions may be filled using this announcement. This position is also being announced to applicants eligible to apply through Merit Staffing procedures under 26-MIE-12916825-ST. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency All U.S. Citizens Duties As a Paralegal Specialist in the United States Attorney's Office (USAO), you will join a well-respected team that is...

As the Vocational Rehabilitation Consultant will develop cost effective strategies to assist individuals with disabilities in returning to the workplace. The VRC will work with Guardian plan holders, employees, and physicians to coordinate return to work opportunities through job accommodations and return to work strategies. The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims, to determine claimants' level of functionality and provide evaluation of work capabilities or independence in activities of daily living, according to contractual definitions.?The Vocational Rehabilitation Consultant identifies claimants that may be eligible for return-to-work planning and assistance, transitional work, job modification, and/or vocational rehabilitation programs.?The VRC must possess a thorough working knowledge of medical diagnoses and treatment modalities, criteria supporting vocational feasibility, and a clear understanding of the interface of...

Company : Highmark Inc. Job Description : JOB SUMMARY HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. This job supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal inquiries or inquiries received by members, providers, or account representatives across all markets. This job administers the day-to-day activities related to collecting, analyzing and reporting on source data and key performance metrics for the purpose of supporting operational efficiency, overall tracking of business performance and management intelligence for effective decision-making. Along...

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 Sr-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,...

Job Description Job Summary: Vertex is seeking a talented and motivated individual with the desire to be part of a highly innovative company aimed at transforming the lives of people with serious diseases, their families and society. The role is as a Senior Manager within HEOR’s Modeling & Analytics Center of Excellence (CoE), a designated group within the HEOR team that provides strategic and technical support to HEOR, Market Access & Pricing, and the broader commercial organization. The main responsibility of the Senior Manager will be to support the HEOR disease/asset teams in real-world observational and claims data research activities. The Senior Manager will support colleagues looking to answer questions that can be addressed using Vertex’s in-licensed RWE data assets. This includes planning and conducting analyses to inform on questions related to disease prevalence, disease burden and progression, healthcare resource utilization and costs, and treatment...

Summary The Supervisory Dietitian (Clinical Nutrition) is responsible the execution of clinical nutrition programming within the facility, community-based clinics, and the local community. Provides administrative managements and direction of the Clinical Nutrition section. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Veterans Veterans of the U.S. Armed Forces or a spouse, widow, widower or parent of a veteran, who may be eligible for derived preference Clarification from the agency All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. Veteran's Preference will be considered. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to...

Summary This position is in the Department of Veterans Affairs (VA), VHA, at the John Dingell VAMC in the Research and Development (R&D) Service, in Detroit, Michigan. The position is fully responsible for managing clinical tests, ensuring development, coordination, and technical management of databases, collecting data, recruiting, and managing subjects for clinical trials and providing high level site support of projects in a research setting, providing day-to-day support for the VA Research Program This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties ** *THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Major duties and responsibilities include but are not limited to: Develop and maintain/update study database in accordance to sponsor and/or Pl's specifications. Manage implementation, control...

Summary Employee will serve as an Accounting Technician aligned in Fiscal Service located at the Veterans Healthcare System in Battle Creek, MI. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties ** *THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties will include, but may not be limited to the following: Creates and posts complicated accounting transactions. Performs extensive analysis and reconciliations of accounts, records and reports. Maintains a variety of subsidiary ledgers and schedules that support ledger balances. Audits account balances and processes necessary corrections. Processes vouchers for payment, to include vendorization, obligation, vouchering, manual posting and reconciliation to obligation documents, and payment coding actives. Researches, reviews and analyzes an...

Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management of Otsuka clinical programs, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution, and completion of clinical programs according to applicable regulations and guidance; ICH Guidelines, Good Clinical Practices (GCP), and Otsuka SOPs, within agreed upon timelines and budget. Job Description Provides scientific clinical research and operational expertise in the development of overall strategy and objectives of the Global Clinical Development Plan (GCDP), including performing/overseeing and providing background research. May represent Clinical Management in the development of the Clinical Development Plan, timelines, and budget for Business Development opportunities. Ensures program specific...