Scottsdale or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or District of Columbia or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware
$47k-$122k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
4+ YOERequires 4+ years of financial analysis, pricing, or corporate underwriting experience; complex Microsoft Excel analysis; and a bachelor's degree in finance, mathematics, economics, or a related field, or equivalent experience.
United States or Alaska or Connecticut or Delaware or Hawaii or Idaho or Kansas or Kentucky or Maine or Massachusetts or Mississippi or Montana or New Hampshire or New Mexico or North Dakota or Rhode Island or South Carolina or South Dakota or Vermont or District of Columbia or West Virginia or Wyoming
$60k-$73k/yrRemoteFull Time
Navitus Health Solutions: Transparent pharmacy benefit management and specialty pharmacy provider.
3+ YOEBachelor’s degree, 3+ years managed care/pharmacy benefits or pharmaceutical experience, pharmacy technician license preferred, ability to analyze claims and contracts, RFP and audit support experience.
Richmond or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
$70k-$116k/yrRemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
6+ YOE6+ years experience in benefit configuration (QNXT) or Bachelor's + 4 years; hands-on QNXT configuration, SQL data validation, knowledge of Medicare/Medicaid/ACA/Commercial rules, analytical and documentation skills.
QNXT, QNXT Configuration Management Tool (CMT), QNXT Configuration Console Suite (QCS), SQL, Microsoft SQL Server (T-SQL)
Senior Audit Analyst in Philadelphia, Pennsylvania
Philadelphia or Delaware or New Jersey or Pennsylvania
HybridFull Time
Independence Health Group: Provides health insurance and healthcare administration services.
3+ YOEB.S. degree, 3+ years healthcare operational audit or quality/analytical experience; audit procedure and root-cause analysis skills; knowledge of healthcare claim adjudication and benefits; strong written and oral communication.
Microsoft Authenticator, OSCAR, Interplan Teleprocessing System (ITS), BCBSA Member Touchpoint Measures Program (MTM), BCBSA Line Desk Level Audit (LDLA), Health Rules
California or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$63k-$97k/yrRemoteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
5+ YOE5+ years stop loss or employee benefits experience preferred, high school diploma required, bachelor\u000degree preferred; strong account implementation, underwriting intake, and sales support skills.
Supervisory Management and Program Analyst (Director, Enterprise Audit Management and Oversight)
North America or Charlotte Amalie or Christiansted or Guaynabo or Mayaguez or Texas or Utah or Vermont or Virginia or Washington or West Virginia or Wisconsin or Wyoming or Alabama or Alaska or Arizona or Arkansas or California or Colorado or Connecticut or Delaware or District of Columbia or Florida or Georgia or Hawaii or Idaho or Illinois or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Jersey or New Mexico or New York or North Carolina or North Dakota or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Tyler or Victoria or Waco or Wichita Falls
$126k-$197k/yrOnsiteFull Time
IRS Office of Chief Counsel: Represents the IRS in tax litigation and legal matters.
1+ YOE1+ MgmtRequires 1 year of specialized supervisory or program management experience equivalent to GS-13/14, including audit management, program oversight, cost-benefit analysis, executive communication, and strategic planning.