Jobs in Analyst

Engagement Description – The qualified candidate will be able to research government regulations for the Medicare Advantage program. The candidate will apply their research to be able to perform an accurate marketing review assessment for required materials, i.e., (Evidence of Coverage, Annual Notice of Change, Summary of Benefits, etc.). Will also be able to interpret…

Support providers (pharmacists and physicians) with Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorization ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Answer telephones in an efficient and timely manner to lend appropriate assistance to providers Triage prior authorization requests under the supervision of a Clinical Pharmacist.…

Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. Identify and communicate business needs and translate business requirements into technical system and functional specifications. Support one or more highly complex or critical business processes/systems and may require design or integration of technical…