Responsible for all aspects of pharmacy analytics needed to support business operations and organizational projects.
Able to partner with customers on analytics tools and visualization to solve problems or answer questions.
Develops and maintains data sets for routine use over time and integrates data for analysis.
Vanderbilt University Medical Center (VUMC) is a global crossroads of teaching, discovery, and patient care located in Nashville, Tennessee. VUMC is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated.
Help design rigorous retrospective and prospective analysis plans to evaluate Maven’s impact on health outcomes and ROI
Quantitatively analyze data for projects assessing Maven’s influence on health outcomes, healthcare experience, and ROI using statistical analysis software
Participate in retrospective evaluations of Maven’s impact for existing clients, including analysis of healthcare claims and self-reported platform data, study design, and communication of results in Powerpoint and / or Word
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. They offer digital programs providing clinical, emotional, and financial support across various life stages, trusted by over 2,000 employers and health plans.
Proactively review trends in outstanding A/R, denials, and various payment issues.
Pull and join multiple data sources together, including the use of SQL and API calls.
Communicate findings and recommendations with department and cross functional leadership.
BetterHelp aims to remove barriers to therapy and make mental healthcare accessible. They are the world's largest online therapy service with over 30,000 licensed therapists, focused on employee well-being and professional development.
Audits client data and generates high quality recoverable claims for the benefit of Cotiviti and our clients.
Conduct advanced, strategic analysis of paid claims, uncovering critical audit insights that drive process improvements and enhance organizational knowledge.
Make determinations based on prior knowledge and experience of client contract terms with the likelihood of recovery acceptance.
Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. They are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth.
SmithRx is a rapidly growing Health-Tech company aiming to disrupt the Pharmacy Benefit Management (PBM) sector. With hundreds of thousands of members onboarded since 2016, they have a mission-driven and collaborative culture.
Establish and monitor performance metrics to measure the reliability and latency of payer data feeds.
Serve as the primary point of escalation for high-priority payer data issues, coordinating with various teams.
Oversee the documentation and submission processes for clinical data extracts to ensure audit readiness.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. As the largest network of independent primary care in the country, they focus on creating value-based contracts, strengthening care continuity, and aligning incentives to ensure physicians are paid for keeping patients healthy.
Support client business processes and operations activities.
Combine operational and analytic skills with problem-solving abilities.
Analyze structured claims and patient datasets.
Precision Medicine Group is a specialized services company supporting life sciences organizations as they develop new therapeutics across the globe. They are an equal opportunity employer.
Independently ascertain how to query the necessary data from large data sets and generate ad hoc analysis with clear insights
Leverage historical claims data and provide reprice reporting that allows for assessment and risk management
Ensure high quality, “client ready” deliverables through an audit/evaluation process and personal accountability
SmithRx is a rapidly growing, venture-backed Health-Tech company. Their mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.
Develop, test, and deploy standard reports and dashboards based on business requirement specifications.
Collaborate with Business Systems Analysts and key business users to document business requirements accurately.
Lead special projects that require analytical research and collaboration with other business areas.
Kentucky General is enhancing the revenue cycle processes. They are focused on developing standard reports that cater to business users' needs and improving business insights and management strategies.
Receive and process monthly/quarterly sales reports from 50+ third party digital retail partners.
Format and prepare reports for earnings system (currency conversions, rate calculations, data cleanup).
Import and match sales data, review for accuracy, and post to client accounts.
CD Baby is a globally recognized leader in the music industry and the first platform to offer artists direct distribution to their fans. As a Downtown Music company, they are committed to modernizing core systems and fostering an agile culture to better serve artists, partners, and fans.
Monitor and analyze financial and operational performance of US Workers' Compensation states.
Build and maintain analytical models to evaluate the impact of strategic levers.
Write and execute data queries to extract, transform, and analyze large insurance data sets.
Pie Insurance is on a mission to empower small businesses to thrive by making commercial insurance affordable and easy. Like their small business customers, they are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles.
Perform daily reconciliations of financial statements.
Identify and resolve discrepancies in financial data.
Prepare accurate documentation of reconciliation activities.
LiveSAFE Solutions specializes in safe execution of power and delivery work across utility infrastructure. They build safer, more efficient job sites using modern management systems, on-site expertise, and effective training.
Perform virtual card reporting and basic transaction investigations to confirm successful processing.
Execute manual updates to account records (e.g., expiration date maintenance) on a recurring basis.
Process and track payment requests and operational tickets.
Blend is an AI services provider, committed to co-creating meaningful impact for its clients through the power of data science, AI, technology, and people. We believe that the power of people and AI can have a meaningful impact on your world, creating more fulfilling work and projects for our people and clients.
Own end-to-end financial modeling for CMS LEAD and other APMs.
Work directly with CMS VRDC data environments to extract, structure, and analyze Medicare claims and enrollment data.
Establish independent validation standards and ensure consistent adherence to these standards across the enterprise.
Arcadia transforms complex, diverse data into a unified foundation for health, helping organizations deliver better care, boost revenue, and lower costs. They are a team of fiercely driven individuals committed to making healthcare more sustainable.
Integral to transforming how healthcare data is utilized for better decision-making
Bridge the gap between technical and business teams, ensuring requirements are met with precision
Contribute to significant improvements in operational performance and client satisfaction
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly and fairly. They identify top-fitting candidates and share the shortlist with the hiring company.
Develop and maintain commercial dashboards and reporting solutions to support Sales, Marketing, and Market Access teams
Translate business questions into structured analytical approaches and deliver actionable insights using claims, CRM, and other commercial datasets
Build and optimize data queries (SQL) and datasets to support reporting, analytics, and ongoing business needs
Definium Therapeutics, formerly known as Mind Medicine, is a clinical stage biopharmaceutical company developing novel product candidates to treat brain health disorders. They are expanding their presence and global footprint and searching for high-impact individuals in various clinical, technical, and business operations domains.
Own end-to-end commission calculation, validation, and payout operations across all sales incentive plans.
Ensure commissions are calculated accurately and delivered on time with zero surprises on payout day.
Interpret Incentive Plan Documents (IPDs) and translate plan language into clear, defensible system logic.
Elite is the trusted automation platform for law firm operations across most of the world’s largest and most successful law firms. Elite has guided firms through every technology shift and today delivers the only cloud-native SaaS platform that unifies financial, invoice, time, and data management into a single system of action.
Create innovative clinical programs, products, and services aimed at optimizing specialty and non-specialty drug management, support payer clients with their PBM and drug coverage decisions
Act as a detail-oriented advisor, using data-driven insights to evaluate pharmacy programs, identify trend drivers, outlier high-cost claims and drive improvements.
Monitor emerging market trends and drug pipelines to anticipate client impact and develop proactive solutions.
Pharmaceutical Strategies Group (PSG), an EPIC owned company, provides an integrated data and analytics platform that transforms member data into actionable intelligence, which drives improved management of drug spend and trend across both pharmacy and medical benefits. EPIC has over 60 offices and 3,000 employees nationwide.
Partner with payer clients as a trusted clinical advisor to design drug management strategies.
Assess and benchmark PBM and other industry vendor clinical programs.
Leverage medical and pharmacy data to assess program performance.
PSG (Pharmaceutical Strategies Group), an EPIC owned company, provides consultative guidance to payer clients in the drug management market. They have over 3,000 employees nationwide and foster a 50/50 culture between producers and the rest of the business, supporting collaboration and teamwork.