Job Search Results for pharmacy

The Manager, Business Analysts is responsible for leading/managing a team of Business Analysts and/or Senior Business Analysts, to enable the delivery of technology solutions that deliver the... More intended business value. Our Business Analyst team works on a variety of projects, both internal, product improvement and client implementations. Our Business Analyst Team works directly with Project Management, Development, Quality Assurance, Operations, Account Management and our Clients to deliver with success. Our Manager of Business Analysts but thrive in a fast-paced work environment, have a solid understanding of software development lifecycle (agile and waterfall), and enjoy managing multiple projects and tasks. This is a technical leadership position with accountability for quality, motivation and mentorship.DUTIES AND RESPONSIBILITIES:? Provides day to day team guidance, setting and managing expectations (priorities, timelines, etc.)? Facilitates positive, professional relationships with Technology and Business teams? Assigns resources to demand, based on skills, fit? Present complex information in a simple and concise manner for all levels of the organization? Partner with Business and Technology Leaders to understand BA demand to build needed capacity. Accurately reflect capacity and demand in Resource Management Tool? Ensure team can identify true business issues, opportunities and facilitates a solution that delivers intended value? Define, document, and implement best practices, tools and templates for BA team? May oversee and/or manage the requirements gathering process, wireframe creation, user story creation for select projects? Create and audit Business Analysis processes and procedures? Act as a Senior Business Analyst when the demand or need arises? Perform other related duties as assigned by management? Be comfortable in a client-facing environment? Directly supervises all business analyst employees within the department(s).? Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.? Bachelor's Degree (BA) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experienceComputer skills required, including MS Office Suite, JIRA, Confluence, Figma (or something similar)We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Under supervision of department administrators, the Internal Medicine clerk is responsible for computer data processing and report generation including steps of data entry, sorting, compilation,... More printing, and distribution of reports. This position maintains comprehensive, networked patient databases which support the clinical interventions by physicians, NP/PAs and/or RN care coordinators. Daily responsibilities may include initial review and adjustment of algorithm-based computer screening decisions prior to final approval by licensed personnel. The clerk also has ongoing patient contact in scheduling appointments, providing follow-up instructions, and screening messages for providers. Perform computer data entry from patient questionnaires, laboratory reports, messages, provider visit forms, and other sources. Conduct data searches and generate reports according to established schedules and procedures. Print and mail letters and information packets to patients. Make follow-up telephone calls to patients regarding return of questionnaires, completion of lab testing, and scheduling of appointments recommended by the patient?s provider, Care Coordinator, or Care Manager. Answer patient telephone calls and triage to the appropriate Provider, Care Coordinator, or Care Manager. Call in pharmacy refills as assigned. Retrieve lab results from RMS and enter into department-based computer tracking systems. Maintain pre-established inventory levels of computer, office, and medical supplies at designated care locations. Execute changes in patient data fields in the computer program per instruction of the Provider, RN Care Coordinator, or Case Manager. Generate statistical reports as requested by department administrator. Review algorithm-based computer screening decisions and adjust as indicated prior to final approval by licensed personnel. Order charts from Medical Records as needed or requested by Provider. Perform other duties as required.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

An employer is seeking a Call Center LVN/LPN to work in an enterprise level environment in the healthcare industry. This call center for one stop shop for anything a patient could be having issues... More with. You would be getting calls based of CAHPS (Consumer Assessment of Healthcare Providers and Systems) and HOS scores (Health Outcomes Survey). You would provide some of the clinical counseling for some of the HOS measures. You will help close the gaps with appointment scheduling, test, referrals, complaints, escalations, medication adherence measures, refills etc. Anything it takes a patient from being unhappy to as happy as we can get them. The call range can take 10 min to a couple of hours whether that?s connecting the patients to their health plan, their providers office, their nurse, their home health, outside resources to help with social determinacies of health, and APS.This position is responsible for the coordination of HEDIS and STARs data. This role is responsible for education to the patient on quality measures and coordinates strategies for closing gaps. The Quality Coordinator LVN, through telephonic outreaches will educate patients on CAHPS & HOS components while working to close other HEDIS gaps for patients. Evaluates the quality and completeness of clinical gap closures by performing quality reviews with patients, maintaining clinical documentation, and accurately records of their review activities. The Quality Coordinator LVN will maintain up-to-date knowledge of regulatory (HEDIS/STARs) standards and guidelines.Essential Job Functions1. Analyze data, evaluate for possible data integrity and data deficits and document findings.2. Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and create interpretive exhibits.3. Identifies patients with the missing measures and works to close the measures through education/counseling, appointment setting, and other means as appropriate.4. Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Outbound calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed.5. May answer inbound calls from members and assists them with their inquiries. Routes calls to appropriate department if necessary.6. Follows system scripting and validates member demographic information.7. Documents the provider or member's record with accurate information obtained on the call.8. Works closely with local leadership to execute quality strategies.9. Supports and assists PCPs/clinics with quality data collection.10. Provides reports and monitors performance at local level.11. Engages PCP and clinic staff in developing strategies to close quality gaps.12. Maintains education/knowledge base of HEDIS/STARs standards and guidelines.13. Performs all other related duties as assigned.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Post and reconcile incoming payments (facilities, insurance, private pay). Maintain and manage A/R aging reports. Follow up on outstanding balances and overdue accountsInvestigate and... More resolve:DenialsShort paysPayment discrepanciesPartner with Billing team on monthly statementsRespond to billing inquiries from:FacilitiesPatients? familiesInsurance repsCommunicate account status, charges, and payment expectationsPrepare A/R reports and collection activity summariesAssist with month-end closeSupport audits and financial reporting requestsSubmit write-offs for approvalIdentify trends in payment delays or denialsROLE RESPONSIBILITIES:Own cash flow support through collections + timely postingAct as primary contact for billing + payment issuesMaintain strong relationships with facility administratorsDrive resolution of outstanding balances to reduce aging riskIdentify process inefficiencies and recommend improvementsWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

You will lead the design and delivery of reporting and analytics solutions that measure and accelerate commercial performance for our pharma clients. From sales force effectiveness to market access... More strategy, you will build the KPIs, dashboards, and analyses that field teams actually use to make decisions. You will dig into market share dynamics, surface access and competitive hurdles, and translate findings into visualizations and narratives that non-technical stakeholders can act on immediately. You will work on high-visibility engagements with leading pharmaceutical brands, shape the analytics agenda for commercial teams, build and lead a global delivery team, and pioneer the next generation of AI-powered reporting and coaching agents that redefine how field teams operate.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

A healthcare payor client is seeking a highly experienced MDM Architect to support and evolve their existing Informatica Master Data Management (MDM) platform within their complex enterprise data... More environment. This role will focus on optimizing and scaling the current MDM solution, supporting new data integration initiatives, and preparing the platform for future transformation or migration.The ideal candidate brings strong experience in MDM architecture, data integration, and data standardization for golden records of healthcare specific data (i.e. member/provider). Key responsibilities include: Architecture & Solution Design (40%) ? Design and enhance MDM/Reference Data architecture supporting enterprise data initiatives? Define solutions for onboarding new data sets and expanding MDM coverage? Support future-state planning, including potential MDM platform migration? Establish and maintain data architecture standards and best practices? Partner with Enterprise Data Office, engineering teams, and business stakeholders? Translate business requirements into scalable data architecture solutionsPlatform Optimization & Support (30%) ? Optimize performance and scalability of the existing Informatica MDM platform? Serve as the technical escalation point for complex MDM/data issues? Identify and implement enhancements to improve data quality and system efficiency? Ensure stability of production MDM and data integration processesData Integration & Engineering Oversight (20%)? Design and guide data movement pipelines across: ? On-prem systems (SQL Server, etc.)? Azure cloud environment? Support ETL development, SQL processes, and job automation? Oversee integration of member and provider data into centralized MDM platformData Governance & Quality(10%) ? Support creation and maintenance of golden records (member & provider)? Guide data quality, reconciliation, and integrity processesImprove data accessibility, consistency, and reusability across the organizationWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less