Top 2534 Claims program manager Jobs

340B Program Analytics Manager
Senderra Specialty Pharmacy —Remote
- $90,000 - $120,000 a year
- Full-time
- 5 years
- Finance
- SQL
- Health insurance
- Dental insurance
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Program Manager
Valeris —Remote
- Remote
- Background check
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- Pass drug screening
- Health savings account
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Subcontract Program Manager
Parsons —Remote
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Safety Manager - Bilingual
ROOF TOPPERS INC —Vancouver, WA
- $75,000 - $112,000 a year
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- Microsoft PowerPoint
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Olympic Sports & Spine —Puyallup, WA
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8d
Senior Director of Safety
Magnum Electric Inc —West Fargo, ND
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CERTIFIED ATHLETIC TRAINIER- WORK REHABILIATION SPECIALIST South King County
Olympic Sports & Spine —Federal Way, WA
- $27.00 - $38.15 an hour
- Full-time
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8d
Behavioral Health Program Director
Center Point, Inc —San Rafael, CA
- $80,000 - $90,000 a year
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13d
Director of Pharmacy (SCR)
State of Kansas - SC Regional Mental Health Hosp —Sedgwick County, KS
- $145,000 a year
- Weekends as needed
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Program Manager
Dynamic Specialty Inc. —Coral Springs, FL
- Extended hours
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Environmental Health & Safety Manager
OFC/Schmidt Liquid Trucking Companies —Plattsmouth, NE
- $75,998.29 - $91,524.82 a year
- Full-time
- CPR Certification
- 3 years
- Driver's License
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Clinical Director (PSP)
State of Kansas - Larned State Hospital —Pawnee County, KS
- $140,000 - $155,000 a year
- Full-time
- Background check
- Psychiatry
- Pass drug screening
- Paid holidays
- Health insurance
Safety Manager
Concrete Washout Solutions —Township of Jackson, NJ
- $75,000 - $85,000 a year
- Full-time
- Spanish
- Clean driving record
- Construction site
- Health savings account
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7d
Senior Board Certified Behavior Analyst
Arizona Institute for Autism (AIA) —Scottsdale, AZ
- Up to $115,000 a year
- Part-time
- 7 years
- Master's degree
- Clinic
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- Dental insurance
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Technical Program Manager
LTM —Bellevue, WA
- $80,000 - $90,000 a year
- Senior level
- Paid parental leave
- Paid holidays
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AmeriCorps Youth and Consumer Mediation Specialist
MetroWest Mediation Services —Natick, MA
- $25,500 a year
- Full-time
- Organizational skills
- In-person
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- Mileage reimbursement
- Health insurance
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1d
Vice President of Nutrition Services
Heritage Community Initiatives —Pittsburgh, PA
- Email
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- Paid holidays
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Program Manager
Code360 Inc —Catonsville, MD
- Full-time
- Hybrid work
- 7 years
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- Health savings account
- Health insurance
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2d
Safety Director
McKinnis Roofing & Sheet Metal —Blair, NE
- Full-time
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- Construction site
- Paid holidays
- Health insurance
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Assistant Program Manager - Residential/Sullivan County, NY
The Arc Greater Hudson Valley, NY —Sullivan County, NY
- $20.90 an hour
- Weekends as needed
- Experience working with individuals with developmental disabilities
- Medication administration
- Experience working with individuals with disabilities
- Health savings account
- Paid holidays
Quick Apply

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340B Program Analytics Manager

Senderra Specialty Pharmacy -
Remote

Quick Apply

Job Details

Full-time
$90,000 - $120,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

SQL
Bachelor's degree
Technical Proficiency
Database software proficiency

Full Job Description

Position Title: 340B Program Analytics Manager

Position Summary

The Lead Data Analyst – 340B Program Analytics is responsible for driving data strategy, reporting infrastructure, and advanced analytics that optimize 340B qualification performance, revenue capture, and compliance integrity across the organization’s 340B portfolio.

This role serves as the analytical lead for 340B operations, partnering with Operations, Finance, Compliance, Sales, TPAs, Wholesalers, and Covered Entities to transform complex claims, prescription, and contract data into actionable insights. The primary objective is to identify submit claims data, review for qualification leakage, improve referral capture, strengthen audit readiness, and protect 340B revenue through data-driven decision-making.

This is a highly visible role requiring strong technical expertise, business acumen, and the ability to translate analytics into strategic operational action.

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Key Responsibilities

1. 340B Qualification & Revenue Analytics (40%)

· Analyze 340B claims, accumulations, referral capture data, and contract pharmacy activity to identify qualification gaps and revenue leakage.

· Develop and maintain tools to identify and properly categorize claims with appropriate Covered Entity partners.

· Develop models to monitor and improve 340B qualification rates across the portfolio.

· Develop, maintain and execute on data submissions processes with TPAs, vendors, and internal teams.

· Quantify financial impact of missed qualifications and implement tracking mechanisms to measure improvements.

· Perform root cause analysis on failed or reversed qualifications.

· Support ADM performance analysis and optimization initiatives.

· Partner with operations leadership to validate eligibility logic and qualification workflows.

· Partners with sales to provide sales related reporting for new covered entity growth.

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2. Data Infrastructure & Reporting (25%)

· Design and maintain dashboards tracking:

o Qualification rates

o Referral capture performance

o Implementation speed and accuracy

o HRSA readiness metrics

o Revenue and margin impact

· Standardize KPI definitions and reporting methodologies across the 340B vertical.

· Build scalable reporting tools to support both executive-level visibility and operational monitoring.

· Ensure data accuracy and integrity across TPA, wholesaler, pharmacy, and internal systems.

· Automate recurring reporting processes to improve efficiency.

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3. Compliance & Audit Analytics (15%)

· Develop audit-ready reporting frameworks aligned with HRSA requirements.

· Support internal and external audit preparation with documentation validation and transaction-level analysis.

· Monitor for compliance risk indicators within claims and contract pharmacy arrangements.

· Identify anomalies, pricing discrepancies, or duplicate discount risks through structured analytics.

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4. Strategic Insights & Cross-Functional Partnership (15%)

· Serve as the analytical advisor to 340B Operations, Finance, and Executive Leadership.

· Translate complex data findings into actionable business recommendations.

· Present findings through executive-level summaries, visualizations, and financial impact modeling.

· Support pricing restoration analysis with wholesalers and manufacturers.

· Provide forecasting and scenario modeling for qualification performance improvements.

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5. Continuous Improvement & Advanced Analytics (5%)

· Identify opportunities for predictive modeling and trend forecasting within 340B activity.

· Implement process improvements driven by data insights.

· Evaluate new data sources to enhance qualification tracking and revenue optimization.

· Support strategic growth initiatives with analytical modeling and opportunity sizing.

---

Performance Expectations

· Measurable improvement in portfolio-wide 340B qualification rates.

· Reduction in revenue leakage and pricing discrepancies.

· Accurate and timely executive reporting.

· Audit-ready documentation and reporting structures.

· Improved visibility into referral capture and ADM performance.

---

Core Competencies

· Deep understanding of 340B program mechanics, compliance structure, and qualification logic.

· Strong financial and revenue analytics capabilities.

· Ability to synthesize large, complex healthcare datasets.

· Executive-level communication and data storytelling.

· Strong cross-functional collaboration skills.

· Analytical rigor with a proactive, solution-oriented mindset.

---

Technical Skills

· Intermediate SQL proficiency required.

· Experience with data visualization tools (Power BI, Tableau, or similar).

· Strong Excel modeling skills including use of Macros and VB code.

· Experience with large healthcare datasets (claims, pharmacy, TPA, wholesaler data).

· Tableau, Power BI, and/or Python experience preferred for advanced analytics and automation.

· Familiarity with Salesforce or CRM reporting environments a plus.

---

Education & Experience Requirements

· Bachelor’s degree in Data Analytics, Finance, Health Informatics, Statistics, Economics, or related field required.

· 5+ years of data analytics experience within healthcare, specialty pharmacy, pharmaceutical services, or 340B environments.

· Direct experience analyzing 340B claims and qualification data strongly preferred.

· Experience supporting revenue cycle, pharmacy operations, or compliance analytics highly desirable.

Job Type: Full-time

Pay: $90,000.00 - $120,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

claims program manager jobs

340B Program Analytics Manager

Program Manager

Subcontract Program Manager

Safety Manager - Bilingual

CERTIFIED ATHLETIC TRAINIER- WORK REHABILIATION SPECIALIST Pierce County

Senior Director of Safety

CERTIFIED ATHLETIC TRAINIER- WORK REHABILIATION SPECIALIST South King County

Behavioral Health Program Director

Director of Pharmacy (SCR)

Program Manager

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Clinical Director (PSP)

Safety Manager

Senior Board Certified Behavior Analyst

Technical Program Manager

AmeriCorps Youth and Consumer Mediation Specialist

Vice President of Nutrition Services

Program Manager

Safety Director

Assistant Program Manager - Residential/Sullivan County, NY

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