Claims analyst Jobs in Tuscaloosa, AL

Last updated: 12 hours ago

Pharmacy Analyst

SS&C Technologies HoldingsRemote - Alabama, US

Remote

Full-time

Locations : GA, KS, AL, ID, IL, MA, MN, MS, NC, SC – REMOTE.The Senior Analyst serves as a subject matter expert in Drug File Administration, responsible for reviewing and validating drug data recei...Show moreLast updated: 30+ days ago

UKG Analyst

Rezult Groupsoutheast, AL, US

Full-time +1

Quick Apply

Rezult Group continues to make great strides toward enhancing the technology services community nationwide.We are consistently looking for qualified professionals to join us in achieving success.Cu...Show moreLast updated: 19 days ago

Call Center and Claims Representative

HumanaRemote, Alabama

Remote

Full-time

Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago

New!

Business Analyst

BizFirst, AL, us

Full-time +2

Job Title : Business Analyst (Budget System Implementation).Urgency and Target Start Date : .Fully remote with occasional travel to the Missile Defense Agency (MDA) headquarters at 5222 Martin Rd SW, ...Show moreLast updated: 12 hours ago

Business Analyst

Nolan Transportation GroupAlabama, US

Remote

Full-time

As a Carrier Sales Business Analyst on the Core Technology Product Team, you will leverage your experience in Carrier Sales to create smart tech solutions that solve our brokers’ biggest pain point...Show moreLast updated: 7 days ago

Financial Planning analyst

Indotronix International CorporationAlabama

$60.00–$65.00 hourly

Remote

Financial Planning analyst Remote, Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, K...Show moreLast updated: 30+ days ago

Medical Economics Analyst

Highmark HealthAL, Working at Home, Alabama

$106,700.00 yearly

Full-time

This job is responsible for using medical cost analytics to provide fact based insights into emerging medical cost trends and / or develop the impact of business developed programs.The incumbent will...Show moreLast updated: 30+ days ago

Promoted

PROCUREMENT ANALYST

TalascendAL, United States

Full-time

A Talascend client in the Mobile, AL has a need for a Procurement Analyst for Energy and Industrial Gas resources.Bachelor's degree in Law, Operations Management, Business Administration, Supply Ch...Show moreLast updated: 1 day ago

Field Claims Specialist II, Property (Birmingham, AL)

Nationwide Private ClientRemote, Alabama, US

Remote

Full-time

If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Pro...Show moreLast updated: 30+ days ago

GIS Analyst

University of AlabamaTuscaloosa

$55,300.00 yearly

Minimum : $44,200 - Midpoint : $55,300 (Salaried E6).Monday - Friday 8 : 00am to 4 : 45pm.Position is eligible for hybrid work subject to University. The GIS Analyst provides research support and technica...Show moreLast updated: 30+ days ago

Promoted

Program Specialist / Analyst

QuadrantTuscaloosa, AL, United States

$65,000.00 yearly

Full-time

Experienced Program Specialist / Analyst.Experience with Air Force information systems and requirements.Experience with conducting FAO IRT program research and data gathering to develop sound courses...Show moreLast updated: 2 days ago

Business Analyst

Greers MarketPrichard, Alabama, United States, 36612

The Business Analyst gathers, interprets, and uses complex data to develop actionable plans to improve processes and desired results. In addition, the Business Analyst will assist the center store t...Show moreLast updated: 11 days ago

Promoted

Programmer Analyst III - 525872

InsideHigherEdTuscaloosa, Alabama

$89,100.00 yearly

Full-time

Minimum : $68,500 - Midpoint : $89,100 (Salaried E11).Monday - Friday 8 : 00am to 4 : 45pm.Position is eligible for hybrid work subject to University. The Programmer Analyst III designs, develops, support...Show moreLast updated: 4 days ago

Claims Adjuster - Liability

SedgwickRemote, Alabama, US

$50,000.00 yearly

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Show moreLast updated: 30+ days ago

Specialty / Commercial Casualty Claims Specialist - Remote

501 CSAA Insurance Services, Inc.Alabama, United States

Remote

Full-time

We're Mobilitas, a commercial insurance company created by CSAA Insurance.Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for t...Show moreLast updated: 30+ days ago

Application Analyst

DCH Health SystemTuscaloosa, AL, US

Supports the planning, organization, and coordination of application support activities for software applications.Supports the coordination of interactions between the users of computer application...Show moreLast updated: 30+ days ago

Pharmacy Analyst

SS&C Technologies HoldingsRemote - Alabama, US

30+ days ago

Job type

Full-time

Remote

Job description

Job Description

R25532 Pharmacy Analyst

Locations : GA, KS, AL, ID, IL, MA, MN, MS, NC, SC – REMOTE

Get To Know The Team :

The Senior Analyst serves as a subject matter expert in Drug File Administration, responsible for reviewing and validating drug data received from external vendors, including FDB, Medispan, FDA, DailyMed, and APD Analytics, to support prescription claims processing.

Why You Will Love It Here!

Flexibility : Hybrid Work Model & a Business Casual Dress Code
Your Future : 401k Matching Program, Professional Development Reimbursement
Work / Life Balance : Flexible Personal / Vacation Time Off, Sick Leave, Paid Holidays
Your Wellbeing : Medical, Dental, Vision, Employee Assistance Program, Parental Leave
Diversity & Inclusion : Committed to Welcoming, Celebrating and Thriving on Diversity
Training : Hands-On, Team-Customized, including SS&C University
Extra Perks : Discounts on fitness clubs, travel and more!

What You Will Get To Do :

Ensure deliverables meet quality expectations, manage defects, and implement corrective actions as needed.

Review and validate drug data received from external vendors enabling clients to make decisions on formularies

Manipulate and override files sent on a variety of intervals; daily, weekly, monthly and from multiple vendors.

Analyze drug data from multiple vendors to ensure accuracy and resolve data issues in collaboration with internal partners or vendors.

Identify errors from data, investigate and lead efforts toward resolution.

Work collaboratively with internal business partners and data vendor to resolve technical issues.

Managing proprietary drug data processes and serve as drug data subject matter expert in support of drug data related projects and client / regulatory audits.

Collaborate with Clinical teams to translate configuration requirements into coding for Data Analysts.

What You Will Bring :

Bachelor’s degree in a relevant field or equivalent experience.

A minimum of 2 years of experience in file management and inputting clinical information within a pharmaceutical or healthcare setting.

Expertise in Excel, including VLOOKUP and pivot tables, for effective data analysis and reporting.

Must have familiarity with Pharmacy Benefit Manager (PBM) activities and formulary management tools and options.

First Databank (FDB) ideal

Strong attention to detail and a proven track record of adhering to timelines and project deadlines.