Top 8351 Methods Process Analyst Jobs

Reimbursement Analyst
ProCare Rx —Gainesville, GA
- Writing skills
- Mid-level
- Finance
- Wellness program
- Paid holidays
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Model Risk Analyst
Federal Home Loan Bank of Chicago —Chicago, IL
- $75,325 - $125,500 a year
- Full-time
- Mid-level
- Office
- SQL
- Paid holidays
- Health insurance
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Supply Chain Process Analyst
DNP Imagingcomm America Corporation —Concord, NC
- $70,000 - $80,000 a year
- Full-time
- English
- Mid-level
- Office
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Administrative Analyst
Los Angeles Community College District —Culver City, CA
- $104,448 - $129,396 a year
- Full-time
- Management
- Word processing
- Mid-level
- Paid jury duty
- Paid holidays
11d
Senior Supply Chain Analyst
Electronic Power Design, Inc —Houston, TX
- Full-time
- Analysis skills
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
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Data Analyst
Changeis —Remote
- Contract
- SQL
- Analysis skills
- Python
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Remote Process Analyst (VA ESOM)
Kentro —Remote
- $120,000 - $130,000 a year
- Full-time
- Computer Science
- 8 years
- Analysis skills
- Health insurance
- Tuition reimbursement
Informatics Policy Analyst
Ibility —Remote
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Master's degree
- Health savings account
- AD&D insurance
Quick Apply
Academic Research Analyst (Remote)
Institute for Humane Studies —Arlington, VA
- Full-time
- Remote
- Mid-level
- SQL
- Bachelor's degree
- Free parking
- Health savings account
Process Analyst
First PREMIER Bank —Sioux Falls, SD
- Full-time
- Mid-level
- Office
- SQL
- Health insurance
- Paid time off
Senior Process Analyst
Marsh —New York, NY
- $74,600 - $139,100 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- SQL
- Health insurance
- 401(k)
Revenue Cycle Analyst
Omada Health —Remote
- $79,200 - $103,500 a year
- Remote
- HIPAA
- Mid-level
- SQL
- Dental insurance
- 401(k)
Quick Apply
Business Process Analyst Level I
XTREME SOLUTIONS INC —Washington, DC
- Full-time
- Office
- Communication skills
- Entry level
Data Analyst
CredX —Remote
- $65,776.47 - $79,214.67 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
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Board Certified Behavior Analyst
Loving Hearts Personal Care Service Inc —Phillipsburg, NJ
- $90 - $100 an hour
- Part-time
- Hybrid work
- Working with individuals with developmental disabilities
- Applied behavior analysis
- HIPAA
- 401(k) 4% Match
- 401(k) matching
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Board Certified Behavior Analyst (BCBA)
MaxAbilities of York County —Rock Hill, SC
- $86,000 - $94,000 a year
- Full-time
- Background check
- Working with individuals with developmental disabilities
- Applied behavior analysis
- Mileage reimbursement
- Health savings account
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Pharmacy Analyst - Business Optimization Strategist
SYSTEM West Virginia University Health System —Morgantown, WV
- Full-time
- Computer Science
- English
- Mid-level
Senior Level Insider Threat Liaison Analyst
Sancorp Consulting LLC —Kaneohe, HI
- Full-time
- Hybrid work
- 5 years
- Pass drug screening
- Research
- Disability insurance
- Health insurance
Quick Apply
Board Certified Behavior Analyst (Part-TIme)
Essential Speech and ABA Therapy Sandy Springs —Sandy Springs, GA
- $65 - $75 an hour
- Part-time
- Working with individuals with developmental disabilities
- HIPAA
- Mid-level
- Flexible schedule
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BCBA
Life Skills Kid Therapy LLC —Polk County, FL
- $73,000 - $104,200 a year
- Full-time
- Background check
- Working with individuals with developmental disabilities
- Spanish
- Health insurance
- Dental insurance
Quick Apply
9d

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Reimbursement Analyst

ProCare Rx -
Gainesville, GA

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Job Details

Benefits

Wellness program
Paid holidays
Disability insurance
Health insurance
Dental insurance
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Referral program

Qualifications

Appeals
Contract documentation review
Contract review
Economics
Health data analysis
Legal analysis
Finance
SAS
Bachelor's degree in finance
Spreadsheets
Writing skills
Data quality assurance
Contract performance monitoring
Bachelor's degree in economics
Mid-level
State healthcare regulations
Contract management experience in healthcare
Trend analysis
Finance
SQL
Analysis skills
Bachelor's degree
Pricing analysis experience within healthcare industry
Data-driven problem-solving
Profitability analysis
Contract management support tasks
Query management
Business
Financial data analysis tools
Health economics data analysis

Full Job Description

PRINCIPLE RESPONSIBILITIES (include but are not limited to):

Analyze pharmacy claims data utilization to identify financial trends, opportunities, and potential risks, including changes to profit margins.
Work with Pharmacy Network to identify new contract requirements and methods to validate set up in the system.
Perform scheduled review and quality assurance of reimbursement in the system.
Assist the legal team by monitoring, understanding, and acting on state MAC laws.
Monitor and maintain contractual Generic Effective Rate agreements.
Assist with implementation of new MAC tables for new clients.
Assist with MAC review appeals from pharmacies & clients.
Communicate MAC prices of new drugs with other team members.

REQUIREMENTS

Bachelor’s degree in Finance, Economics or other business-related field, or 4+ years of financial or pricing analysis experience in PBM or Healthcare related field preferred.
Demonstrate expanded understanding of advanced Excel functionality preferred.
Aptitude to learn or demonstrated understanding of databases and query languages (e.g., SQL, DBF, Access, SAS, etc.) preferred.
Ability to effectively communicate, verbally and in writing, potentially technical information to a non-technical audience preferred.
Ability to work independently and in a fast-paced environment preferred.
Strong analytical and problem-solving skills preferred.

PHYSICAL DEMANDS

Requires sitting, standing, and occasional light lifting.

The Perks of Joining Our Team:

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
Time to Recharge: Paid vacation and holiday pay.
Focus on Your Wellness: We offer a robust Employee Wellness Program.
Invest in Your Future: 401 k with a company match.
Support System: Employee Assistance Program provides confidential support and counseling.
Get Rewarded for Referring Great People: Employee referral program.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at [email protected] (mailto:[email protected]).

ProCare Rx is an Equal Opportunity Employer.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

Methods Process Analyst jobs

Reimbursement Analyst

Model Risk Analyst

Supply Chain Process Analyst

Administrative Analyst

Senior Supply Chain Analyst

Data Analyst

Remote Process Analyst (VA ESOM)

Informatics Policy Analyst

Academic Research Analyst (Remote)

Process Analyst

Senior Process Analyst

Revenue Cycle Analyst

Business Process Analyst Level I

Data Analyst

Board Certified Behavior Analyst

Board Certified Behavior Analyst (BCBA)

Pharmacy Analyst - Business Optimization Strategist

Senior Level Insider Threat Liaison Analyst

Board Certified Behavior Analyst (Part-TIme)

BCBA

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