Top 16372 Risk Analyst Jobs

Reimbursement Analyst
ProCare Rx —Gainesville, GA
- Writing skills
- Mid-level
- Finance
- Wellness program
- Paid holidays
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Commercial Credit Analyst
Michigan Business Connection, LC —Ann Arbor, MI
- $70,000 - $80,000 a year
- Full-time
- Background check
- Bachelor of Science
- Basic math
- Health insurance
- Dental insurance
Quick Apply
5d
Oracle Fusion Business Analyst
BravoTech —Dallas, TX
- Contract
- Oracle
- Mid-level
- 3 years
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Data Governance Analyst
Indotronix International Corporation —Saint Petersburg, FL
- $75 - $79 an hour
- Hybrid work
- 5 years
- SQL
- In-person
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Claims Quality Analyst
MetroPlusHealth —New York, NY
- $55,000 - $65,000 a year
- Word processing
- Mid-level
- Continuous improvement
- Commuter assistance
- Paid holidays
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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
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Program Risk Analyst
AECOM —Dallas, TX
- $65,000 - $118,000 a year
- Full-time
- Remote
- Bachelor of Science
- Mid-level
- Bachelor's degree
- AD&D insurance
- Employee stock purchase plan
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
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Risk Analyst
Kelly Services —Los Angeles, CA
- $37.84 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
- Paid holidays
- Disability insurance
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 and Compliance Analyst
SOSi —Remote
- Full-time
- Remote
- PMP
- 5 years
- Engineering
Quick Apply
Risk Analyst
Alkami —Remote
- $102,400 - $128,000 a year
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- 401(k) matching
4d
IT Risk & Compliance Analyst
Angi —Denver, CO
- $85,000 - $115,000 a year
- Full-time
- Remote
- Mid-level
- Organizational skills
- 2 years
- Health insurance
- Dental insurance
Quick Apply
Analyst - Regulatory Risk
Hard Rock Digital —Hollywood, FL
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Communication skills
- Work from home
Quick Apply
Risk Analyst
Payabli —Miami, FL
- Full-time
- 5 years
- Mid-level
- SQL
- Paid parental leave
- Health savings account
Risk Analyst
Morgan Stanley —New York, NY
- $75,000 - $95,000 a year
- Full-time
- Mid-level
- Office
- SQL
Insider Risk Analyst
SpaceX —Hawthorne, CA
- $85,000 - $120,000 a year
- Extended hours
- Background check
- Mid-level
- Bachelor's degree
- Paid parental leave
- Employee stock purchase plan

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Reimbursement Analyst

ProCare Rx -
Gainesville, GA

Quick Apply

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

Commercial Credit Analyst

Oracle Fusion Business Analyst

Data Governance Analyst

Claims Quality Analyst

Entry Level Business Analyst

Risk Analyst

Cyber Risk Analyst

Risk Analyst

Program Risk Analyst

AI Risk & Compliance Analyst

Risk Analyst

Fraud Analyst

Risk and Compliance Analyst

Risk Analyst

IT Risk & Compliance Analyst

Analyst - Regulatory Risk

Risk Analyst

Risk Analyst

Insider Risk Analyst

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