Top 87290 Process Analyst I Jobs

Reimbursement Analyst
ProCare Rx —Gainesville, GA
- Writing skills
- Mid-level
- Finance
- Wellness program
- Paid holidays
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Business Process Analyst
StandardAero —San Antonio, TX
- Full-time
- Computer Science
- 5 years
- SQL
- AD&D insurance
- Disability insurance
Business Process Analyst
BRICKELL PERSONNEL CONSULTANTS, INC. —Miami, FL
- $30 - $35 an hour
- Full-time
- Background check
- Spanish
- English
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Quality Control Analyst I
Polysciences, Inc. —Warrington, PA
- $59,200 - $69,800 a year
- Full-time
- Microsoft Excel
- Computer literacy
- Bachelor's degree
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Release Management Process Analyst
Delta Dental —San Francisco, CA
- $80,500 - $174,300 a year
- Full-time
- Hybrid work
- Background check
- Azure
- Office
- Paid holidays
- Health insurance
Business Process Analyst Level I
XTREME SOLUTIONS INC —Washington, DC
- Full-time
- Office
- Communication skills
- Entry level
Analyst I
Patient First —Glen Allen, VA
- $60,000 - $68,000 a year
- Full-time
- Research
- SQL
- Analysis skills
- Paid holidays
- Disability insurance
Technical Analyst I
Indeed —Remote
- $69,000 - $144,000 a year
- Full-time
- Military encouraged
- In-person
- Senior level
- Paid parental leave
- Paid holidays
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3d
Business Analyst I, Underwriting
AmTrust Financial Services, Inc. —Cleveland, OH
- $49,000 - $73,000 a year
- Full-time
- Hybrid work
- Finance
- SQL
- Analysis skills
- Health insurance
- Dental insurance
ANALYST I
Department of Transportation —Sacramento County, CA
- $3,861 - $6,276 a month
- Full-time
- Hybrid work
- Research
- Office
- Residential
8d
Board Certified Behavior Analyst (BCBA)
Applaud Autism Services —Richmond, IN
- $80,000 - $86,000 a year
- Full-time
- School experience
- Spanish
- Applied behavior analysis
- Continuing education credits
- Paid holidays
Quick Apply
Governance, Risk, and Compliance Analyst
Stratus Services, LLC —Anchorage, AK
- $70,000 - $90,000 a year
- Full-time
- 5 years
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Sr Apparel Sourcing Analyst
Unrivaled Teamwear —Lenexa, KS
- Full-time
- Microsoft Excel
- Analysis skills
- Bachelor's degree
Quick Apply
Enterprise Imaging Informatics Supervisor
SYSTEM West Virginia University Health System —Morgantown, WV
- Full-time
- Microsoft Excel
- Computer Science
- Hospital
Board Certified Behavior Analyst (BCBA) Hybrid
Above and Beyond Therapy —Roanoke, VA
- $85,000 - $100,000 a year
- Part-time
- Hybrid work
- Working with individuals with developmental disabilities
- Mid-level
- Clinic
- Paid parental leave
- Paid holidays
Quick Apply
Board Certified Behavior Analyst (BCBA) Hybrid
Above and Beyond Therapy —Virginia Beach, VA
- $85,000 - $100,000 a year
- Part-time
- Hybrid work
- Working with individuals with developmental disabilities
- Mid-level
- Clinic
- Paid parental leave
- Paid holidays
Quick Apply
Board Certified Behavior Analyst (BCBA) Hybrid
Above and Beyond Therapy —Alexandria, VA
- $85,000 - $100,000 a year
- Part-time
- Hybrid work
- Working with individuals with developmental disabilities
- Mid-level
- Clinic
- Paid parental leave
- Paid holidays
Quick Apply
Board Certified Behavior Analyst (BCBA)
Mosaic Pediatric Therapy —Raleigh, NC
- $98,000 - $115,000 a year
- Full-time
- Mid-level
- Clinic
- Working with children
- Continuing education credits
- Health savings account
Quick Apply
Director Surgical Services
UnityPoint Health —Sioux City, IA
- Full-time
- Nursing
- Surgery
- RN License
- Paid holidays
- Disability insurance
Board Certified Behavior Analyst (BCBA)
Applaud Autism Services —Indianapolis, IN
- $80,000 - $86,000 a year
- Full-time
- School experience
- Spanish
- Applied behavior analysis
- Continuing education credits
- Paid holidays
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.

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Refine Your Search

Process Analyst I jobs

Reimbursement Analyst

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Analyst I

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Business Analyst I, Underwriting

ANALYST I

Board Certified Behavior Analyst (BCBA)

Governance, Risk, and Compliance Analyst

Sr Apparel Sourcing Analyst

Enterprise Imaging Informatics Supervisor

Board Certified Behavior Analyst (BCBA) Hybrid

Board Certified Behavior Analyst (BCBA) Hybrid

Board Certified Behavior Analyst (BCBA) Hybrid

Board Certified Behavior Analyst (BCBA)

Director Surgical Services

Board Certified Behavior Analyst (BCBA)

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