clinical business analyst

Pukat Technology Pvt Ltd

Job: Clinical Analyst / Business AnalystTeam: Project ImplementationWhat You&rsquo;ll Do<ul><li>Showcase the system through demos and guide users step-by-step.</li><li>Understand how hospitals and clinics operate, then convert those needs into system requirements.</li><li>Improve workflows by aligning processes with system capabilities (BPR &amp; BPA).</li><li>Support documentation like requirement specs, workflows, and process maps.</li><li>Work closely with the implementation team to deliver projects successfully.</li><li>Set up and customize the system (users, forms, nursing notes, checklists, charts, etc.).</li><li>Assist clients in preparing and uploading data accurately into the system.</li><li>Test new features and ensure everything works as expected before release.</li><li>Create simple, easy-to-follow user manuals and training materials.</li><li>Train users and ensure they are confident using the system.</li><li>Plan and execute testing phases (FAT &amp; UAT) with stakeholders.</li><li>Support clients during go-live and help them adapt smoothly.</li><li>Continuously gather feedback and suggest system improvements.</li></ul>What We&rsquo;re Looking For<ul><li>A degree in IT, Computer Science, or any healthcare-related field (Nursing, Pharmacy, Medicine, etc.).</li><li>2&ndash;5 years of experience in healthcare systems or hospital environments.</li><li>Solid understanding of clinical workflows and operations.</li><li>Experience with systems like HIS, PMS, LIS, or similar platforms.</li><li>Ability to turn real-world clinical needs into clear documentation.</li><li>Strong problem-solving mindset with attention to detail.</li><li>Good communication skills and confidence in dealing with clients.</li></ul>Nice to Have<ul><li>Familiarity with Agile or Scrum ways of working.</li><li>Experience using tools like Jira or Confluence.</li><li>Basic knowledge of integrations and APIs.</li><li>Understanding of medical coding standards (ICD, CPT, SNOMED).</li></ul>Who You Are<ul><li>Detail-oriented and analytical</li><li>Comfortable working with both technical teams and healthcare professionals</li><li>A team player who can collaborate across functions</li><li>Adaptable and able to handle fast-moving projects</li><li>Passionate about improving healthcare through technology</li></ul>Job Type: Full-timeWork Location: In person

Clinical Analyst/ Business Analyst

MSD Türkiye

<div>
 
 Job Description
 
 
 
 
 Business &amp; Data Analyst &ndash; Automation, Analytics &amp; AI (BA &ndash; AA &amp; AI)
 
 
 
 The Business Analyst &ndash; Automation, Analytics &amp; AI (BA &ndash; AA &amp; AI) supports the identification, delivery, and sustainment of country-level automation, analytics, and AI solutions that enhance clinical trial operations. Working under the guidance of the Clinical Research Director (CRD) and in close collaboration with the RRO Automation Analytics &amp; AI Lead (RAAI Lead) and Senior Business Analysts, the role assists with business case preparation, data analysis, dashboard/report building, workflow documentation, solution testing, training, and user support.
 
 
 The BA &ndash; AA &amp; AI helps ensure solutions are compliant, adopted, and continuously improved and may be involved in supporting alignment and scalability for regional and global solutions. As needed, the BA &ndash; AA &amp; AI may also support initiatives driven by Regional Operations teams, such as Global Site Agreements (GSA), Global Trial Optimization (GTO), Global Sites Budgets and Payments (GSBP) and Essential Document Management (EDM).
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Intake &amp; analysis support
 </li>
 <li>
 Assist in compiling business cases, gathering requirements, mapping processes, and documenting user stories and acceptance criteria.
 </li>
 <li>
 Conduct data exploration and prepare baseline metrics to define problem statements and expected benefits.
 </li>
 <li>
 Verify with relevant central repositories and teams if there are similar tools to avoid duplication; summarize reuse opportunities and recommendations for the Sr. BA &ndash; AA &amp; AI and RAAI Lead.
 </li>
 <li>
 Solution build &amp; testing
 </li>
 <li>
 Build and maintain country dashboards and basic automations under supervision using approved platforms.
 </li>
 <li>
 Prepare test scripts, perform user acceptance testing (UAT) coordination, and document outcomes; support validation and release documentation.
 </li>
 <li>
 Support configuration and minor enhancements; triage user feedback and escalating defects/issues as needed.
 </li>
 <li>
 Reporting &amp; metrics
 </li>
 <li>
 Produce routine operational reports and Key Performance Indicators (KPI) dashboards; maintain data definitions and refresh cadence.
 </li>
 <li>
 Track solution performance metrics (e.g., adoption, data quality, cycle time) and prepare updates for stakeholders.
 </li>
 <li>
 Compliance &amp; change support
 </li>
 <li>
 Ensure adherence to ICH GCP, Company policies, and local regulations in documentation and solution usage.
 </li>
 <li>
 Support change management activities (training materials, user guides, quick reference content) and deliver end-user training sessions.
 </li>
 <li>
 Collaboration
 </li>
 <li>
 Collaborate with country, regional and headquarters teams, such as Sr. BA - AA &amp; AI / RAAI Lead, and Global Clinical Data Integration (GCDI) / Information Technology (IT) partners; share learnings and templates with peers.
 
 
 </li>
 </ul>
 Extend of Travel Up to 5-10% of working time
 
 
 
 Required Education And Experience
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in life science discipline, business analytics, computing science, engineering, or related field, with 2 years of hands-on experience in data analysis, process improvement, or technology-enabled projects (including exposure to automation platforms, analytics tools, or AI frameworks), or
 </li>
 <li>
 An associate degree or equivalent post‑secondary qualification in a life science discipline, business analytics, computing science, engineering, or related field, combined with a minimum of 4 years of relevant hands-on experience in data analysis, process improvement, or technology-enabled projects (including exposure to automation platforms, analytics tools, or AI frameworks)
 
 
 </li>
 </ul>
 
 Preferred Experience
 
 
 
 <ul>
 <li>
 Exposure to clinical research operations or adjacent functions.
 </li>
 <li>
 Experience with Business Intelligence (BI) tools (e.g., Power BI/Tableau) and basic data wrangling (Excel/PowerQuery/DAX; introductory Structured Query Language (SQL)).
 </li>
 <li>
 Familiarity with workflow documentation and testing/UAT practices.
 </li>
 <li>
 Internships or project work in healthcare/life sciences/regulatory environments desirable.
 
 
 </li>
 </ul>
 
 Required Knowledge, Skills And Abilities
 
 
 
 <ul>
 <li>
 Business analysis skills Ability to gather and document requirements, translate business needs into data or solution specifications, and support testing and validation activities.
 </li>
 <li>
 Data literacy ability to analyze datasets, build reports, and visualize metrics; attention to data quality.
 </li>
 <li>
 Technical aptitude hands-on with Excel and at least one BI tool; foundational understanding of automation platforms and AI-assisted tools, with willingness to learn approved platforms.
 </li>
 <li>
 Organization &amp; communication clear written/verbal English; structured documentation; effective collaboration in a matrixed setting.
 </li>
 <li>
 Compliance awareness basic understanding of operating in regulated environments and adherence to procedures.
 </li>
 <li>
 Learning mindset proactive, curious, and coachable; embracing feedback and continuous improvement.
 
 
 </li>
 </ul>
 
 Required Skills
 
 
 
 Automation Framework Design, Business Analysis, Business Intelligence (BI), Clinical IT, Clinical Research, Good Clinical Data Management Practice (GCDMP), Operational Acceptance Testing (OAT), Test Scripts, User Acceptance Testing (UAT), User Feedback
 
 
 
 Preferred Skills
 
 
 
 Current Employees apply HERE
 
 
 Current Contingent Workers apply HERE
 
 
 
 Search Firm Representatives Please Read Carefully
 
 
 
 Merck &amp; Co., Inc., Rahway, NJ, USA, also known as Merck Sharp &amp; Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
 
 
 
 Employee Status
 
 
 
 Regular
 
 
 
 Relocation
 
 
 
 
 VISA Sponsorship
 
 
 
 
 Travel Requirements
 
 
 
 
 Flexible Work Arrangements
 
 
 
 Hybrid
 
 
 
 Shift
 
 
 
 
 Valid Driving License
 
 
 
 
 Hazardous Material(s)
 
 
 
 
 Job Posting End Date
 
 
 
 05/12/2026
 
 
 <ul>
 <li>
 A job posting is effective until 11 59 59PM on the day BEFORE the listed job posting end date. Please ensure you apply to a job posting no later than the day BEFORE the job posting end date.
 
 
 </li>
 </ul>
 
 Requisition ID
 
 R395941
</div>

Business & Data Analyst – Automation, Analytics & AI

Fractal Analytics

<div>It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Business Analyst, Provider Networks &amp; Care Management
Fractal is a strategic AI partner to Fortune 500 companies with a vision to power every human decision in the enterprise. Fractal is building a world where individual choices, freedom, and diversity are the greatest assets. An ecosystem where human imagination is at the heart of every decision. Where no possibility is written off, only challenged to get better. We believe that a true Fractalite is the one who empowers imagination with intelligence. Fractal has been featured as a Great Place to Work by The Economic Times in partnership with the Great Place to Work&reg; Institute and recognized as a &lsquo;Cool Vendor&rsquo; and a &lsquo;Vendor to Watch&rsquo; by Gartner.
Please visit Fractal | Intelligence for Imagination for more information about Fractal
Note: This position is not eligible for Immigration Sponsorship at this time
Location: Remote
Role Overview:
We are seeking an experienced Business Analyst (BA) with strong expertise in Provider Network management and Care Management programs. This role partners with clinical, network, operations, IT, and analytics teams to analyze business processes, define requirements, and support initiatives that improve clinical outcomes, operational efficiency, cost management, and regulatory compliance.
The ideal candidate has deep knowledge of healthcare payer operations, understands end‑to‑end care management workflows, and can translate business needs into clear functional and technical requirements.
Key Responsibilities<ul><li>
Provider Network Analysis</li><li>
Analyze provider network operations including contracting, credentialing, directory management, network adequacy, and access standards.</li><li>
Support initiatives related to network optimization, provider performance, and value‑based care arrangements.</li><li>
Gather and document requirements for provider data management, directory accuracy, and compliance reporting.</li><li>
Act as a liaison between business users and technical teams for provider network systems.</li></ul>
Care Management &amp; Clinical Programs<ul><li>
Analyze Care Management workflows, including utilization management, case management, disease management, and population health programs.</li><li>
Support process improvements around prior authorization, referrals, transitions of care, and closure of care gaps.</li><li>
Translate clinical and operational needs into clear business and system requirements.</li><li>
Assist in the measurement and reporting of care outcomes, quality metrics, and utilization trends.</li></ul>
Business &amp; Systems Analysis<ul><li>
Conduct stakeholder interviews, workshops, and current‑state/future‑state process analysis.</li><li>
Develop Business Requirement Documents (BRDs), Functional Requirement Documents (FRDs), process flows, and user stories.</li><li>
Support system enhancements, integrations, and data initiatives related to provider and care management platforms.</li><li>
Validate solutions through UAT planning, execution, and defect triage.</li></ul>
Data, Reporting &amp; Compliance<ul><li>
Analyze healthcare data related to cost, utilization, quality, risk stratification, and provider performance.</li><li>
Support reporting for regulatory and accreditation requirements (e.g., CMS, NCQA, state mandates).</li><li>
Ensure alignment with healthcare standards such as ICD‑10, CPT, HCPCS, HEDIS, and FHIR where applicable.</li></ul>
Qualifications<ul><li>
6&ndash;10+ years of experience as a Business Analyst in healthcare.</li><li>
Strong hands‑on experience with Provider Network operations and Care Management programs.</li><li>
Experience working with payer systems or healthcare platforms supporting network and care management functions.</li></ul>
Domain Knowledge<ul><li>
Provider contracting, credentialing, and directory management.</li><li>
Care Management, Utilization Management, Case/Disease Management models.</li><li>
Value‑Based Care, ACOs, and quality improvement initiatives.</li><li>
Understanding of payer workflows and end‑to‑end member/provider lifecycle.</li></ul>
Technical &amp; Functional Skills<ul><li>
Requirements elicitation and documentation (BRD, FRD, user stories).</li><li>
Process modeling tools (Visio, Lucidchart, BPMN).</li><li>
Agile and/or Waterfall delivery methodologies.</li><li>
Data analysis using SQL, Excel, or BI tools (reported or self‑service).</li><li>
Familiarity with healthcare platforms such as care management systems, provider data systems, and claims platforms.</li></ul>
Soft Skills<ul><li>
Strong communication skills with clinical, business, and technical stakeholders.</li><li>
Ability to translate complex clinical and operational concepts into actionable requirements.</li><li>
Analytical mindset with strong problem‑solving capabilities.</li><li>
Proven ability to manage multiple priorities in a fast‑paced environment.</li></ul>
Nice‑to‑Have<ul><li>
Experience supporting HEDIS, Stars, Risk Adjustment, or Quality programs.</li><li>
Exposure to FHIR‑based integrations and healthcare interoperability initiatives.</li><li>
Certification such as CBAP, CCBA, or PMI‑PBA.</li><li>
Experience in payer modernization or digital health transformation initiatives.</li></ul>
Success Metrics<ul><li>
Improved efficiency and accuracy of provider network and care management processes.</li><li>
Successful delivery of system enhancements aligned to business needs.</li><li>
Reduction in rework or defects through clear requirements and UAT support.</li><li>
Positive stakeholder feedback and measurable impact on care quality and operational outcomes.</li></ul>
Pay:
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Fractal, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base salary is up to $195,000.
Benefits:
As a full-time employee of the company or as an hourly employee working more than 30 hours per week, you will be eligible to participate in the health, dental, vision, life insurance, and disability plans in accordance with the plan documents, which may be amended from time to time. You will be eligible for benefits on the first day of employment with the Company. In addition, you are eligible to participate in the Company 401(k) Plan after 30 days of employment, in accordance with the applicable plan terms. The Company provides for 11 paid holidays and 12 weeks of Parental Leave. We also follow a &ldquo;free time&rdquo; PTO policy, allowing you the flexibility to take time needed for either sick time or vacation. 
 
Fractal provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex,
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!<h3 class="jobSectionHeader">
Hiring Related Queries</h3>
India: HiringsupportIndia@fractal.ai
Outside India: HiringsupportROW@fractal.ai
Please share resume via job postings
Not the right fit? Let us know you're interested in a future opportunity by clicking Introduce Yourself in the top-right corner of the page or create an account to set up email alerts as new job postings become available that meet your interest!</div>

Business Analyst

Merck

<div>Job Description
The Business Analyst &ndash; Automation, Analytics &amp; AI (BA &ndash; AA &amp; AI) supports the identification, delivery, and sustainment of country-level automation, analytics, and AI solutions that enhance clinical trial operations. Working under the guidance of the Clinical Research Director (CRD) and in close collaboration with the RRO Automation Analytics &amp; AI Lead (RAAI Lead) and Senior Business Analysts, the role assists with business case preparation, data analysis, dashboard/report building, workflow documentation, solution testing, training, and user support.
The BA &ndash; AA &amp; AI helps ensure solutions are compliant, adopted, and continuously improved and may be involved in supporting alignment and scalability for regional and global solutions. As needed, the BA &ndash; AA &amp; AI may also support initiatives driven by Regional Operations teams, such as Global Site Agreements (GSA), Global Trial Optimization (GTO), Global Sites Budgets and Payments (GSBP) and Essential Document Management (EDM). 
 
Extent of Travel &ndash; Up to 10% of working time.
Key Responsibilities:
Intake &amp; Analysis Support<ul><li>
Assist in compiling business cases, gathering requirements, mapping processes, and documenting user stories and acceptance criteria.</li><li>
Conduct data exploration and prepare baseline metrics to define problem statements and expected benefits.</li><li>
Verify with relevant central repositories and teams if there are similar tools to avoid duplication; summarize reuse opportunities and recommendations for the Sr. BA &ndash; AA&amp; AI and RAAI Lead.</li></ul>
Solution Build &amp; Testing<ul><li>
Build and maintain country dashboards and basic automations under supervision using approved platforms.</li><li>
Prepare test scripts, perform user acceptance testing (UAT) coordination, and document outcomes; support validation and release documentation.</li><li>
Support configuration and minor enhancements; triage user feedback and escalating defects/issues as needed.</li></ul>
Reporting &amp; Metrics<ul><li>
Produce routine operational reports and Key Performance Indicators (KPI) dashboards; maintain data definitions and refresh cadence.</li><li>
Track solution performance metrics (e.g., adoption, data quality, cycle time) and prepare updates for stakeholders.</li></ul>
Compliance &amp; Change Support<ul><li>
Ensure adherence to ICH GCP, Company policies, and local regulations in documentation and solution usage.</li><li>
Support change management activities (training materials, user guides, quick reference content) and deliver end-user training sessions.</li></ul>
Collaboration<ul><li>
Collaborate with country, regional and headquarters teams, such as Sr. BA - AA &amp; AI/ RAAI Lead, and Global Clinical Data Integration (GCDI) / Information Technology (IT) partners; share learnings and templates with peers.</li></ul>
Required Education and Experience:<ul><li>
Bachelor&rsquo;s degree in life science discipline, business analytics, computing science, engineering, or related field, with 2+ years of hands-on experience in data analysis, process improvement, or technology-enabled projects (including exposure to automation platforms, analytics tools, or AI frameworks), or</li><li>
An associate degree or equivalent post‑secondary qualification in a life science discipline, business analytics, computing science, engineering, or related field, combined with a minimum of 4 years of relevant hands-on experience in data analysis, process improvement, or technology-enabled projects (including exposure to automation platforms, analytics tools, or AI frameworks).</li></ul>
Required Knowledge, Skills and Abilities:<ul><li>
Business analysis skills: Ability to gather and document requirements, translate business needs into data or solution specifications, and support testing and validation activities.</li><li>
Data literacy: ability to analyze datasets, build reports, and visualize metrics; attention to data quality.</li><li>
Technical aptitude: hands-on with Excel and at least one BI tool; foundational understanding of automation platforms and AI-assisted tools, with willingness to learn approved platforms.</li><li>
Organization &amp; communication: clear written/verbal English; structured documentation; effective collaboration in a matrixed setting.</li><li>
Compliance awareness: basic understanding of operating in regulated environments and adherence to procedures.</li><li>
Learning mindset: proactive, curious, and coachable; embracing feedback and continuous improvement.</li></ul>
Preferred Experience:<ul><li>
Exposure to clinical research operations or adjacent functions.</li><li>
Experience with Business Intelligence (BI) tools (e.g., Power BI/Tableau) and basic data wrangling (Excel/PowerQuery/DAX; introductory Structured Query Language (SQL)).</li><li>
Familiarity with workflow documentation and testing/UAT practices.</li><li>
Internships or project work in healthcare/life sciences/regulatory environments desirable.</li></ul>
Required Skills:
Automation Framework Design, Business Analysis, Data Analysis, Process Improvements, Project Management, Regulatory Compliance, User Acceptance Testing (UAT), User Feedback
Preferred Skills: 
US and Puerto Rico Residents Only:
Our company is committed to inclusion, ensuring that candidates can engage in a hiring process that exhibits their true capabilities. Please click here if you need an accommodation during the application or hiring process.
As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment and prohibit discrimination on the basis of race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other applicable legally protected characteristics. As a federal contractor, we comply with all affirmative action requirements for protected veterans and individuals with disabilities. For more information about personal rights under the U.S. Equal Opportunity Employment laws, visit:
EEOC Know Your Rights
EEOC GINA Supplement
We are proud to be a company that embraces the value of bringing together, talented, and committed people with diverse experiences, perspectives, skills and backgrounds. The fastest way to breakthrough innovation is when people with diverse ideas, broad experiences, backgrounds, and skills come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another&rsquo;s thinking and approach problems collectively.
Learn more about your rights, including under California, Colorado and other US State Acts
U.S. Hybrid Work Model
Effective September 5, 2023, employees in office-based positions in the U.S. will be working a Hybrid work consisting of three total days on-site per week, Monday - Thursday, although the specific days may vary by site or organization, with Friday designated as a remote-working day, unless business critical tasks require an on-site presence.This Hybrid work model does not apply to, and daily in-person attendance is required for, field-based positions; facility-based, manufacturing-based, or research-based positions where the work to be performed is located at a Company site; positions covered by a collective-bargaining agreement (unless the agreement provides for hybrid work); or any other position for which the Company has determined the job requirements cannot be reasonably met working remotely. Please note, this Hybrid work model guidance also does not apply to roles that have been designated as &ldquo;remote&rdquo;.
The salary range for this role is
$96,200.00 - $151,400.00
This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. An employee&rsquo;s position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs.
The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.
We offer a comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k), paid holidays, vacation, and compassionate and sick days. More information about benefits is available at https://jobs.merck.com/us/en/compensation-and-benefits.
You can apply for this role through https://jobs.merck.com/us/en (or via the Workday Jobs Hub if you are a current employee). The application deadline for this position is stated on this posting.
San Francisco Residents Only: We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance
Los Angeles Residents Only: We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles&rsquo; Fair Chance Initiative for Hiring Ordinance
Search Firm Representatives Please Read Carefully 
Merck &amp; Co., Inc., Rahway, NJ, USA, also known as Merck Sharp &amp; Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
Employee Status:
Regular
Relocation:
No relocation
VISA Sponsorship:
No
Travel Requirements:
25%
Flexible Work Arrangements:
Remote
Shift:
Not Indicated
Valid Driving License:
No
Hazardous Material(s):
N/A
Job Posting End Date:
05/14/2026<ul><li>A job posting is effective until 11:59:59PM on the day BEFORE the listed job posting end date. Please ensure you apply to a job posting no later than the day BEFORE the job posting end date. 
</li></ul> 
Requisition ID:R397049</div>

Business Analyst – Automation, Analytics & AI

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.<h3 class="jobSectionHeader">
The PA Data Management (PDM) team oversees a wide range of Prior Authorization (PA) data flows, tools, and projects. We are committed to enhancing quality and operational efficiency by developing advanced methods for managing data that minimize downstream issues while accounting for upstream variances.</h3>
We empower our team members to build deep expertise in PA configuration, adapt to evolving plan designs, formulary and product changes, and collaborate effectively to support both internal stakeholders and external clients. Our vision is to foster a culture of accountability, innovation, and service excellence that drives meaningful impact across the healthcare ecosystem through robust data management practices.<h3 class="jobSectionHeader">
Position Summary</h3>
As a PA Data Management Analyst, you will play a key role in supporting and optimizing PA operations through data-driven insights and process improvements. You will work collaboratively across teams to manage PA data flows, support client implementations, and contribute to the development of scalable, automated solutions that enhance quality and reduce risk.<h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>
Manage and maintain PA-related data flows, ensuring accuracy, consistency, and alignment with upstream and downstream systems.</li><li>
Support the development and enhancement of internal tools and processes to improve data quality and operational efficiency.</li><li>
Analyze large datasets to identify trends, anomalies, and opportunities for process improvement.</li><li>
Collaborate with cross-functional teams to support client implementations, plan design changes, and formulary updates.</li><li>
Participate in testing and validation efforts for PA configuration and data transition activities.</li><li>
Assist in documenting business requirements and operational procedures related to PA data management.</li><li>
Contribute to the creation and refinement of training materials and knowledge resources for internal stakeholders.</li><li>
Support ongoing initiatives aimed at automation, scalability, and proactive risk mitigation within PA operations.</li><li>
Support Clinical Adjudication PA Support Team with general case work as and when needed.</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Self-motivated with a strong, positive attitude and a proactive approach to problem-solving.</li><li>
Excellent communication and organizational skills; able to articulate complex technical concepts to non-technical audiences.</li><li>
2+ years of experience analyzing large data sets to identify trends, opportunities, and support initiatives.</li><li>
Proficiency in the following programming languages:<ul><li>
Transact-SQL</li><li>
VB</li><li>
C#</li></ul></li><li>
Software proficiency in:<ul><li>
Visual Studio</li><li>
SQL Server Management Studio</li><li>
Microsoft Office Suite (Word, PowerPoint, Excel, Outlook, Access)</li></ul></li></ul><h3 class="jobSectionHeader">
Preferred Qualifications</h3><ul><li>
Experience with RxClaim, specifically adjudication related to Prior Authorization overrides.</li><li>
Knowledge of CVS Caremark clinical programs, including formularies and utilization management.</li><li>
Familiarity with various lines of business: Commercial, Medicare, Medicaid, Health Exchanges.</li><li>
Experience in developing or improving training materials for technical and clinical audiences.</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$43,888.00 - $93,574.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. 
Additional details about available benefits are provided during the application process and on Benefits Moments. 
We anticipate the application window for this opening will close on: 05/12/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Clinical Client Operations - Analyst

Behavioral Framework

<div><h1 class="jobSectionHeader">Join Our Brand New Clinic!</h1>
Be part of something exciting. Behavioral Framework is launching our first set of clinics in the Richmond area, and we&rsquo;re looking for a passionate Board Certified Behavior Analyst (BCBA) to be a part of the founding team to shape the culture and clinical excellence of our new center.
This role offers a unique block schedule that creates long weekends every week, giving you more time to recharge while doing meaningful work with children and families. No direct hours or billable hour requirement.
<h2 class="jobSectionHeader">Why Behavioral Framework?</h2><ul><li>
Supportive Team Culture &ndash; Join a passionate community that celebrates collaboration and impact.</li><li>
Growth &amp; Mentorship &ndash; Ongoing training, supervision, and $1,000 annually for CEUs.</li><li>
Respected ABA Provider &ndash; BHCOE Accredited, ACE Provider, CASP Member, Inc. 5000 Recognized.</li><li>
Strong Admin Support&ndash; scheduling, billing, authorizations, operations manager</li></ul><h2 class="jobSectionHeader">
What You&rsquo;ll Gain:</h2><ul><li>
Competitive Pay &ndash; starting at $90,000 Salary</li><li>
Work-Life Balance &ndash; Long weekends every week, PTO, and paid holidays.</li><li>
Comprehensive Benefits &ndash; Health, dental, vision, 401(k) with employer contributions.</li><li>
Tech &amp; Tools &ndash; Company-issued MacBook, iPhone, therapy materials, and assessments.</li><li>
Career Growth &ndash; Clear paths to leadership and promotion.</li></ul><h2 class="jobSectionHeader">
Your Role as a BCBA:</h2><ul><li>
Supervise and mentor a team of Behavior Technicians.</li><li>
Design and update individualized ABA treatment plans.</li><li>
Provide parent training and case supervision</li><li>
Conduct assessments (ABLLS, AFLS, VB-MAPP), functional behavior assessments, and data analysis.</li><li>
Collaborate with diverse families and professionals to achieve meaningful outcomes.</li></ul>
Qualifications:<ul><li>
BCBA certification (in good standing)</li><li>
Master&rsquo;s degree in ABA, Psychology, or related field</li><li>
Minimum 1 year of supervisory experience in ABA preferred</li><li>
Experience with ABA methodologies, including Verbal Behavior, VB-MAPP, and ABLLS</li><li>
Strong interpersonal, communication, leadership, and problem-solving skills</li><li>
Cultural Awareness: Collaborate, communicate, and interact with individuals from diverse backgrounds, embracing and respecting cultural differences and socially significant clinical outcomes.</li></ul>
Work Environment, Physical Conditions:<ul><li>
Ability to work in a fast-paced environment.</li><li>
Must comply with company policies and procedures and the ethical guidelines for BCBAs as outlined by the BACB.</li><li>
Must be able to perform a variety of physical and often repetitive activities including (but not limited to) standing and sitting for long periods of time, walking, bending, kneeling, reaching, pushing, and pulling.</li><li>
Must exhibit satisfactory manual dexterity, auditory, and visual skills.</li><li>
Ability to occasionally lift and/or move up to 15 lbs.</li></ul>
Join a collaborative environment where your expertise is valued, your growth is prioritized, and your work directly supports children and families through their journey. Visit our website at www.behavioralframework.com for more information.
Salary: starting at $90k
EOE
Behavioral Framework is committed to equitable treatment for all employees, clients, and their families. We welcome and respect the diversity of the families we serve, and we focus our organizational efforts to build a culture of respect, dignity, fairness, caring, equality, and self-esteem.
We believe our strength comes from the shared experiences of our employees, clients, and community. We pride ourselves on serving a diverse population and always seeking to hire, retain, and promote from a wide variety of backgrounds.
#RichmondBCBA</div>

BCBA- Clinic Setting

Amerita

<div>Our Company:
<div>
Amerita</div><div></div>
Overview:
<div>
The Application Support Analyst is responsible for the support, configuration, and ongoing optimization of clinical and pharmacy application functionality used within the Home Infusion business. This role serves as an IT liaison between clinical, pharmacy, and operational stakeholders and third-party application vendors. The analyst ensures system stability, supports new functionality, and partners with end-user subject matter experts (SMEs) to deliver reliable, compliant, and efficient clinical application solutions. The analyst will also work closely with data engineers and Power BI developers to resolve data quality issues.</div><div></div><div> 
We Offer:</div><ul><li>Medical, Dental &amp; Vision Benefits plus, HSA &amp; FSA Savings Accounts</li><li>Supplemental Coverage &ndash; Accident, Critical Illness and Hospital Indemnity Insurance</li><li>401(k) Retirement Plan</li><li>Company paid Life and AD&amp;D Insurance, Short-Term and Long-Term Disability</li><li>Employee Discounts</li><li>Tuition Reimbursement</li><li>Paid Time Off &amp; Holidays</li></ul>
Responsibilities:
<ul><li>Provides day-to-day application support for the organization&rsquo;s Home Infusion clinical and pharmacy systems, CPR+ or CareTend experience strongly preferred</li><li>
Administers, configures, and maintains third-party clinical and pharmacy applications to support business and patient care workflows</li><li>
Troubleshoots application issues, perform root-cause analysis, and coordinate resolution with vendors, internal IT teams, and end-users</li><li>
Manages application upgrades, patches, and releases, including impact analysis, test planning, execution, and post-release validation</li><li>
Partners with clinical, pharmacy, and operational SMEs to gather requirements, evaluate new functionality, and support application enhancements and customizations</li><li>
Acts as a liaison between the business and vendors to review system capabilities, request enhancements, and track issue resolution</li><li>
Supports system integrations and data flows between clinical/pharmacy applications and other enterprise systems</li><li>
Develops and maintains application documentation, including configuration details, support procedures, and release notes</li><li>
Participates in change management activities to ensure smooth adoption of new features and system updates</li><li>
Identifies and investigates data quality issues, partnering with technical teams to resolve discrepancies and improve data reliability</li><li>
Ensures applications are supported in alignment with regulatory, compliance, and security requirements relevant to pharmacy and clinical operations</li><li>
Provides day-to-day application support for the organization&rsquo;s Home Infusion clinical and pharmacy systems, CPR+ or CareTend experience strongly preferred</li><li>
Administers, configures, and maintains third-party clinical and pharmacy applications to support business and patient care workflows</li></ul>
Qualifications:
<ul><li>Bachelor&rsquo;s degree in Information Systems, Healthcare Informatics, Pharmacy, Nursing, or an equivalent education and work experience.</li><li>
3&ndash;6 years of experience supporting healthcare, clinical, or pharmacy applications in an IT application support or analyst role.</li><li>
Hands-on experience supporting third-party/vendor-hosted applications, including system administration, configuration, troubleshooting, and vendor coordination.</li><li>
Experience working with clinical and/or pharmacy workflows; Home Infusion experience strongly preferred.</li><li>
Strong knowledge of clinical and/or pharmacy application support practices, including administration, configuration, troubleshooting, and ongoing maintenance</li><li>
Working knowledge of pharmacy and clinical operations, with the ability to understand and support Home Infusion workflows.</li><li>
Ability to analyze application issues, identify root causes, and coordinate resolution across vendors, internal IT teams, and business SMEs.</li><li>
Experience supporting application release management activities, including impact assessment, test planning, execution, and post-release validation.</li><li>
Ability to translate clinical and operational requirements into technical solutions and system configurations.</li><li>
Percentage of Travel: 0-20%</li><li>
Driving Position: No</li></ul><div>
**To peform this role will require frequently sitting, and typing on a keyboard with fingers, and occasionally standing, walking, bending, reaching, climbing (stairs/ladders), kneeling, crouching, and stooping. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**</div>
About our Line of Business: Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X. Salary Range: USD $75,000.00 - $95,000.00 / Year</div>

Applications Support Analyst

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