Top 16284 Risk Analyst Jobs

Reimbursement Analyst
ProCare Rx —Gainesville, GA
- Writing skills
- Mid-level
- Finance
- Wellness program
- Paid holidays
Quick Apply
Risk Adjustment Analyst - AI Trainer
DataAnnotation —Arlington, TX
- From $20 an hour
- Overtime
- Remote
- Medicine
- Writing skills
- English
Quick Apply
Senior SAP Analyst (PP/QM)
ITT Inc. - English US —Irvine, CA
- $140,400 - $209,800 a year
- Analysis skills
- Bachelor's degree
- Team management
Quick Apply
Investment Risk Analyst - AI Trainer
DataAnnotation —Irving, TX
- $50 - $60 an hour
- Part-time
- Remote
- English
- Master's degree
- Analysis skills
Quick Apply
Financial Analyst III – Data Governance (Hybrid-Buffalo)
M&T Bank —Buffalo, NY
- $74,600 - $124,400 a year
- Full-time
- Hybrid work
- Office
- 3 years
- Finance
Entry Level Business Analyst
ALCglobalSoftware —Remote
- $63,812.09 - $76,848.97 a year
- Full-time
- Remote
- Microsoft Excel
- No background check
- Business Administration
- Health savings account
- Health insurance
Quick Apply
Risk Analyst
Parsons —Remote
- $74,800 - $130,900 a year
- Overtime
- Remote
- Mid-level
- 3 years
- Finance
- Wellness program
- Paid holidays
Cyber Risk Analyst
Hudson Manpower —Cincinnati, OH
- $35 an hour
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
- Profit sharing
- Paid training
Quick Apply
Risk Analyst
Fortis —Plano, TX
- Mid-level
- 2 years
- Communication skills
Quick Apply
Fraud Analyst
Till Financial —Remote
- $70,000 - $105,000 a year
- Full-time
- Mid-level
- SQL
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
Risk Analyst
Clicklease —Draper, UT
- Full-time
- Office
- Finance
- SQL
Quick Apply
11d
Merchant Specialty Risk Analyst
Merrick Bank —New York, NY
- $61,500 - $68,500 a year
- Full-time
- Writing skills
- Mid-level
- Office
- AD&D insurance
- Paid holidays
Quick Apply
10d
Analyst
Advantage Technical —Fountain Valley, CA
- $35 - $44 an hour
- Temporary
- Mid-level
- Analysis skills
- Bachelor's degree
- Health savings account
- AD&D insurance
Quick Apply
Risk Analyst
Pyramid Consulting, Inc —Plano, TX
- $26 - $31 an hour
- Urgently hiring
- Hybrid work
- Mid-level
- Analysis skills
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
4d
Global Trade Analyst
Randstad —San Jose, CA
- $142,000 - $190,000 a year
- Office
- 8 years
- Analysis skills
- AD&D insurance
- Disability insurance
Quick Apply
Senior Business Analyst Financial Regulatory Reporting
Pyramid Consulting, Inc —Stamford, CT
- $70 - $75 an hour
- Urgently hiring
- Office
- Senior level
- Health insurance
- Dental insurance
Quick Apply
AI Risk & Compliance Analyst
Robert Half —New York, NY
- $65 - $75 an hour
- Temporary
- Hybrid work
- Analysis skills
- Bachelor's degree
- US work authorization
- Disability insurance
- Dental insurance
Quick Apply
Credit Risk Analyst
Bell Bank —Bloomington, MN
- $65,800 - $92,200 a year
- Full-time
- Bachelor of Science
- Mid-level
- Office
- Health savings account
- Health insurance
Senior Policy Analyst-Foreign Policy
Talentscope Asia Pacific Limited —Remote
- From $3,000 a month
- Part-time
- Remote
- Mid-level
- 3 years
- Master's degree
- Travel reimbursement
- Paid time off
Quick Apply
5d
Risk Analyst Income Simulation
Federal Home Loan Bank of Chicago —Chicago, IL
- $75,325 - $125,500 a year
- Full-time
- Microsoft Excel
- Computer Science
- Mid-level
- Paid holidays
- Health insurance
Quick Apply

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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.

Quick Apply

Refine Your Search

Risk Analyst jobs

Reimbursement Analyst

Risk Adjustment Analyst - AI Trainer

Senior SAP Analyst (PP/QM)

Investment Risk Analyst - AI Trainer

Financial Analyst III – Data Governance (Hybrid-Buffalo)

Entry Level Business Analyst

Risk Analyst

Cyber Risk Analyst

Risk Analyst

Fraud Analyst

Risk Analyst

Merchant Specialty Risk Analyst

Analyst

Risk Analyst

Global Trade Analyst

Senior Business Analyst Financial Regulatory Reporting

AI Risk & Compliance Analyst

Credit Risk Analyst

Senior Policy Analyst-Foreign Policy

Risk Analyst Income Simulation

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