pharmacy analyst

Alliant Insurance Services

At Alliant Insurance Services, we thrive on creating employee benefits solutions built on the idea that health makes growth possible. As top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. This position is a chance to join a dynamic, expanding company with prospects for individual and career growth.
<br>As one of the 10 largest insurance brokerage firms in the U.S., Alliant provides property and casualty, workers' compensation, employee benefits, surety, and financial products and services to clients nationwide. More information is available at www.alliant.com.
<br><br>
SUMMARY
<br><br>
Responsible for supporting the delivery of consulting projects to our employer prospects and clients.
<br><br>
ESSENTIAL DUTIES AND RESPONSIBILITIES
<br><br>
Conducts financial analyses for clients including Rx proposal comparisons, underwriting, forecasting and rebate estimating, as well as works on financial/data driven projects for current and prospective clients.
<br><br>
Supports and participates in bidding for prospective clients.
<br><br>
Uses financial skill set to negotiate with Pharmacy Benefits Managers and carriers on behalf of our clients for annual renewals and marketing efforts.
<br><br>
Prepares first draft of new business and client deliverables.
<br><br>
Works with Senior Pharmacy Consultants and other health benefit consultants to support client strategy development.
<br><br>
Researches issues of concern to large employers in the pharmacy industry, assimilating information, and developing a written summary for the Senior Pharmacy Consultant to review and refine a point of view.
<br><br>
Manages projects, using appropriate tools, to ensure projects are being completed on time and with appropriate quality assurance checks.
<br><br>
Works with client teams to ensure pharmacy practice resources are used appropriately, increasing efficiency by identifying ways to improve processes.
<br><br>
Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information).
<br><br>
QUALIFICATIONS
<br>EDUCATION / EXPERIENCE
<br><br>
Bachelor's Degree in Health Care or equivalent combination of education and experience
<br><br>
Three (3) or more years of direct experience in an actuarial, underwriting, pricing or consulting role in a Health & Welfare consulting/brokerage firm, PBM or health insurance carrier specializing in pharmacy benefits analytics. Required
<br><br>
Working knowledge of commercial health insurance industry and financial acumen Required
<br><br>
SKILLS
<br><br>
Excellent verbal and written communication skills
<br><br>
Strong analytical, organizational and prioritization skills
<br><br>
Excellent problem solving and time management skills
<br><br>
Ability to prioritize and handle multiple tasks in a demanding work environment
<br><br>
Ability to work within a team and to foster teamwork
<br><br>
Willingness to go the extra mile to produce quality work, as client-ready as possible, with a fine attention to detail
<br><br>
Ability to work with large data sets in Excel, Access, or other large data manipulation software a plus
<br><br>
Proficient in Microsoft Office Suite
<br><br>
#LI-REMOTE
<br>#LI-LM1
<br><br>
We are proud to provide comprehensive, high quality employee programs to meet employees’ needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.
<br>For immediate consideration for this position, please click on the “Apply Now" button.
<br>Alliant Insurance Services, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, age, religion, gender, sexual orientation, gender identity, national origin, disability, protected veteran status or any other protected status.
<br>If you are applying for a job and need a reasonable accommodation for any part of the employment process, please call our Career Center at 1-877-901-9473 and let us know the nature of your request and contact information.
<br><br>
For more information on Alliant Insurance Service's benefits, click here.

Pharmacy Analyst II - Employee Benefits

Ascension

<div>We Are Hiring:
<div><b>
Location: Milwaukee, WI</b></div><div><b>
Facility: Remote, Offsite</b></div><div><b>
Department/Specialty: 340b Admin Support</b></div><div><b>
Schedule: Full-Time, Days</b></div>
What You Will Do:
<ul><li><div><b>
Interpret</b> complex pharmacy data to build actionable reports that empower our clinical teams to make informed, life-saving decisions.</div></li><li><div><b>
Design</b> the architecture and scope of analytical frameworks to ensure our leadership has a clear, accurate roadmap for operational success.</div></li><li><div><b>
Champion</b> data integrity by performing rigorous quality checks, ensuring every insight we provide is a &quot;single source of truth&quot; for patient care.</div></li><li><div><b>
Partner</b> with management to deliver rapid, ad-hoc intelligence that solves immediate clinical challenges and optimizes pharmacy workflows.</div></li></ul>
What You Will Need:
<div>
Licensure/Certification/Registration:</div><ul><li>
Pharmacist credentialed from the Wisconsin Pharmacy Examining Board Preferred.</li><li>
Pharmacy Tech credentialed from the Pharmacy Technician Certification Board (PTCB) Preferred.</li><li>
Pharmacy Tech credentialed from the National Healthcare Association Preferred.</li></ul><div>
Education:</div><ul><li>
High School diploma equivalency with 2 years of cumulative experience OR Associate's<br>
degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.</li></ul>
Additional Preferences:
<div>
340b Program experience strongly preferred.</div>
Why Join Our Team:
<div>
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you&rsquo;ll find an inclusive and supportive environment where your contributions truly matter.</div>
Equal Employment Opportunity Employer:
<p><b><i>
Equal employment opportunity employer
</i></b></p><p>Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.</p><p><b><i>
Fraud prevention notice
</i></b></p><p>Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.</p><p><b><i>
E-Verify statement</i></b></p><div>
Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.</div>
Benefits:
<div>
Paid time off (PTO)<br>
Various health insurance options &amp; wellness plans<br>
Retirement benefits including employer match plans<br>
Long-term &amp; short-term disability<br>
Employee assistance programs (EAP)<br>
Parental leave &amp; adoption assistance<br>
Tuition reimbursement<br>
Ways to give back to your community</div><div></div><div><i><br>
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.</i></div></div>

Pharmacy Data Analyst

Norton Healthcare

<div>Responsibilities:
<div>
The Sr. Revenue Integrity Pharmacy Analyst is responsible for expert review of pharmacy related charge audits, denials, quarterly HCPCS updates, and value analysis. They will review and analyze pharmacy claims, collaborating with pharmacy IS, Billing and Managed Care to ensure compliance with billing regulations while maximizing reimbursement. Additionally they provide support and education to Pharmacy and Revenue Cycle teams on coding and documentation requirements. Strong attention to detail with extensive knowledge in Pharmacy billing, coding, payor policies, federal regulations and reimbursement methodologies are essential for this role.</div><div></div><div><b><br>
**This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina**</b></div>
Qualifications:
<div><b>
Required:</b></div><ul><li>
Three years of experience in healthcare revenue cycle, clinic operations or pharmacy technician</li><li>
One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT</li></ul><div><b>
Desired:</b></div><ul><li>
One year of pharmacy experience</li></ul></div>

Senior Revenue Integrity Pharmacy Analyst, Revenue Integrity/Coding Administration, Days, Fully Remote

VytlOne

<div><div>The <b>Pharmacist Analyst</b> plays a critical role in the design, development, testing, implementation, and ongoing optimization of a pharmacy dispensing system. This role combines clinical pharmacy expertise with systems analysis and software development lifecycle (SDLC) participation to ensure that dispensing technology is safe, compliant, efficient, and aligned with real-world pharmacy workflows.</div><div></div><div><br>
The <b>Pharmacist Analyst</b> serves as the clinical subject matter expert (SME) throughout the development cycle&mdash;translating pharmacy practice requirements into functional system designs, validating system behavior, supporting releases, and ensuring regulatory and patient safety standards are met. plan</div><div></div><div><br>
This role also encompasses full lifecycle management of First Databank (FDB) content updates and master data configuration within the Pharmacy Management System, combining business analysis with clinical QA responsibilities to ensure safe, accurate, and compliant medication processing.</div><div></div><div><b><br>
Who We Are</b></div><div><b>
VytlOne</b> is the nation&rsquo;s only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions&mdash;delivering <b>excellence</b> through tailored strategies and collaborative partnerships. At VytlOne, we&rsquo;re not just transforming pharmacy&mdash;we&rsquo;re making a <b>purposeful impact</b> on the communities we serve.</div><div></div><div><b><br>
Why Choose a Career at VytlOne?</b></div><div>
At <b>VytlOne</b>, our <b>purpose</b> is at the heart of everything we do. People join us not just for a job, but to be part of something bigger&mdash;where their work truly matters. We foster a culture of <b>authenticity</b>, where you&rsquo;re encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as <b>One Team</b>, united by a bold mission and a spirit of innovation. Here, you&rsquo;ll find a place where your ideas are heard, your contributions are valued, and your career can thrive.</div><div></div><div><b><br>
Position Location</b></div><div>
This is a remote-based position within the Continental US.</div><div><b><br>
SDLC &amp; Product Development</b></div><ul><li>
Participate actively in all phases of the software development lifecycle (SDLC), including requirements gathering, design, development, testing, deployment, and post-release support.</li><li>
Translate pharmacy workflows, regulatory requirements, and clinical rules into functional and non-functional system requirements.</li><li>
Collaborate with product managers, developers, QA, UX, and operations teams to ensure accurate implementation of pharmacy functionality.</li><li>
Review and contribute to system design documentation, user stories, acceptance criteria, and release notes.</li></ul><div><b>
FDB Content Update Management</b></div><ul><li>
Manage the full lifecycle of FDB content updates including import, configuration, build, validation, and release.</li><li>
Review and interpret FDB release notes to identify impacts to clinical rules, drug files, workflows, and pricing.</li><li>
Build and test weekly FDB image files, weekly drug files, and monthly full update files.</li><li>
Publish the weekly clinical spreadsheet to FTP and communicate updates to customers including any vital DUR-related clinical changes that require urgent distribution.</li></ul><div><b>
Clinical &amp; Workflow Expertise</b></div><ul><li>
Serve as the pharmacy SME for dispensing system functionality, including prescription processing and verification, clinical screening and alerts, labeling and packaging, inventory management and controlled substances, and interfaces with EHRs, eRx, automation, and third-party systems.</li><li>
Validate that system workflows align with safe medication-use practices and real-world pharmacy operations.</li><li>
Validate medication records, NDC mapping, strengths, routes, package sizes, and drug classes.</li><li>
Configure and maintain PMS master data such as drug files, workflow rules, alerts, and dispensing logic.</li></ul><div><b>
Testing, Validation &amp; Quality Assurance</b></div><ul><li>
Lead or support user acceptance testing (UAT), regression testing, and workflow validation for new features and enhancements.</li><li>
Develop test cases and scenarios based on clinical risk, regulatory requirements, and operational use cases.</li><li>
Identify, document, and prioritize defects and workflow issues; collaborate with development teams to resolve them.</li><li>
Support system validation and documentation required for regulatory compliance (e.g., state boards of pharmacy, DEA, CMS).</li><li>
Develop reusable clinical test scenarios and test plans; execute both manual and automated testing for PMS functionality.</li><li>
Record defects, track resolutions, validate fixes, and maintain audit-ready documentation.</li><li>
Support continuous improvement of QA processes and regression coverage.</li></ul><div><b>
Regulatory, Safety &amp; Compliance</b></div><ul><li>
Ensure dispensing system functionality complies with applicable regulations and standards (e.g., USP, DEA, state pharmacy laws).</li><li>
Evaluate the impact of regulatory or policy changes on system requirements and workflows.</li><li>
Support audit readiness and responses related to pharmacy technology and dispensing processes.</li></ul><div><b>
Implementation &amp; Ongoing Optimization</b></div><ul><li>
Support system implementations, upgrades, and configuration changes.</li><li>
Provide go-live support and post-implementation issue resolution.</li><li>
Analyze user feedback, incident reports, and system metrics to recommend enhancements and continuous improvements.</li><li>
Act as a liaison between end-user pharmacists and technical teams to drive adoption and usability.</li><li>
Coordinate change management, documentation, and production readiness across update cycles.</li></ul><div><b><br>
Education:</b></div><ul><li>
RPh or Doctor of Pharmacy (PharmD) from an accredited school of pharmacy.</li><li>
Active pharmacist license in good standing (or ability to obtain).</li></ul><div><b>
Required Experience</b></div><ul><li>
2+ years of experience in pharmacy practice, pharmacy informatics, or health technology.</li><li>
Experience working with pharmacy dispensing systems or pharmacy technology platforms.</li><li>
Hands-on experience managing FDB or similar drug database updates, including build, test, and release processes.</li><li>
Experience with testing, validation, and defect tracking.</li></ul><div><b><i>
Preferred Experience</i></b></div><ul><li>
Experience working directly within a software development or product team.</li><li>
Familiarity with Agile, Scrum, or other SDLC methodologies.</li><li>
Experience with system testing, validation, or release management.</li><li>
Residency training (PGY1/PGY2 Informatics) or equivalent experience.</li><li>
Experience supporting FDA-regulated or validated systems.</li><li>
Experience with SQL or system-level data validation.</li><li>
Experience with automated testing tools.</li><li>
Familiarity with medication safety and clinical decision support systems</li></ul><div><b>
Knowledge, Skills &amp; Abilities</b></div><ul><li>
Knowledge of pharmacy automation, interfaces (HL7, NCPDP), or EHR integrations.</li><li>
Strong understanding of pharmacy workflows, medication safety, and regulatory requirements.</li><li>
Ability to document requirements, workflows, and test scenarios clearly and precisely.</li><li>
Strong communication skills with both clinical and technical stakeholders.</li></ul><div><b>
Core Competencies</b></div><ul><li>
Clinical judgment and attention to detail.</li><li>
Systems thinking and workflow analysis.</li><li>
Risk-based testing and validation.</li><li>
Cross-functional collaboration.</li><li>
Clear documentation and communication.</li><li>
Continuous improvement mindset.</li><li>
Clinical understanding of medication safety including interactions, dosing, and allergy management.</li><li>
Ability to translate operational needs into system configuration.</li><li>
Problem-solving and root-cause analysis.</li></ul><div></div><div><b><br>
CORE VALUES</b><br>
At VytlOne, our success is guided by our Core Values. The Pharmacist Analyst is expected to consistently demonstrate behaviors aligned with the core values:</div><ul><li>
Authenticity</li><li>
Excellence for Partners</li><li>
Integrity</li><li>
One Team</li><li>
Purpose</li></ul><div><b>
WE OFFER</b></div><div>
At <b>VytlOne</b> we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You&rsquo;ll work with a mission-driven organization focused on improving healthcare outcomes</div><div></div><div><br>
Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:</div><ul><li>
Comprehensive mental health and wellbeing resources</li><li>
Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums</li><li>
Company-paid basic life/AD&amp;D, short-term and long-term disability insurance</li><li>
Rx, dental, vision, other voluntary benefits, and FSA</li><li>
Employer-matched 401k Plan</li><li>
Industry-leading PTO plan</li><li><i>
And more!</i></li></ul><div><i>
Join us and help build the future of pharmacy care &ndash; better outcomes, stronger margins, and healthier communities.</i></div><div></div><div><b><br>
FOR MORE INFORMATION:</b></div><div>
VytlOne Website VytlOne LinkedIn</div><div></div><div><br>
VytlOne (formerly Maxor) is an EOE, including disability/vets</div></div>

Pharmacist Analyst – Pharmacy Dispensing Systems

National Association of Boards of Pharmacy

<p>The <b>Compliance Analyst, Pharmacy Programs </b>plays a critical role in the process of evaluating pharmacies for compliance with regulations and program requirements to support NABP&rsquo;s mission to protect public health. They will develop, analyze, and review applicant materials for the pharmacy accreditation and inspection programs, including application, submission of other materials, eligibility determination, and inspection/survey results. Additionally, they will provide recommendations and report adverse findings to the Compliance Manager, Pharmacy Programs and participate in NABP staff and contractor training. They may perform onsite inspections and surveys for pharmacy program applicants as well.</p><p><b>Education/Experience:</b></p><ul><li>Pharmacy technician national certification or state pharmacist license required.</li><li>10+ years&rsquo; experience as a pharmacy technician or pharmacist required.</li><li>Sterile compounding experience required.</li><li>Proficient knowledge of rules/regulations governing the practice of pharmacy required.</li><li>Inspection and regulatory compliance in pharmacy or other related health care field experience preferred.</li><li>Experience with developing and reviewing policies and procedures and quality related programs preferred.</li><li>Strong analytical and critical thinking skills to identify and communicate issues and solutions.</li><li>Strong verbal and written communication skills.</li><li>Advanced organizational skills and ability to multi-task without direction.</li><li>Advanced experience with Microsoft Word and Excel, or similar office software.</li><li>Ability to work in a team environment with both office and remote-based staff.</li><li>Routine air and ground overnight travel required.</li><li>Any combination of training, education and experience that is equivalent to the employment standards requirements listed above, and that provides the required knowledge and abilities, may be deemed acceptable for this position.</li><li><b>Compliance Development</b></li><li>Performs reviews, analyzes data, and reports findings from applicant materials, including, but not limited to: application, document submission, policies and procedures, inspection/survey findings, eligibility determination, applicant responses, and audits</li><li>Performs quality control and quality assurance activities related to inspection and survey reports</li><li>Responds to applicant inquiries and conducts intake calls</li><li><b>Inspector/Surveyor</b></li><li>Performs VPP inspections and Pharmacy Accreditation surveys</li><li>Reviews application materials and performs pre-inspection/survey reviews in order to prepare for inspection/survey</li><li>Comprehensively and concisely describes observations and gathers necessary information into inspection and survey reports</li><li>Completes required reports and submits not less than 5 days from the completion of the inspection or survey</li><li>Assists with training of contractors in the field and provides feedback</li><li><b>Information Improvements</b></li><li>Makes improvements, with Compliance Manager, Pharmacy Programs and Compliance Senior Manager, for resolution of compliance conflicts identified during review of applicant materials and other information gathered during the pharmacy accreditation or inspection process</li><li>Routinely meets with Accreditation &amp; Inspection team to review open program and applicant questions, review compliance issues, evaluate complex business models, and to monitor and track resolutions</li></ul><p>Pay: $90,000.00 - $110,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Flexible schedule</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul><p>Work Location: Remote</p>

Compliance Analyst, Pharmacy Programs

Mercalis

<div>Overview:
<p>
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Valeris, Valeris&trade; revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need.</p><p></p><p><br>
Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products.</p><p></p><p><br>
Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients.</p><p></p><p><br>
The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana.
</p><p>To learn more about Valeris, please visit www.valeris.com.</p><p></p><div><br>
As an FWA Investigative Analyst-Pharmacy, you will have experience investigating data and trends by pharmacies, patients, and healthcare providers seeking out potential fraud, waste, and/or abuse activity. The selected candidate should demonstrate a clear ability to act upon alerts and data dashboards that have identified potential fraud, waste, and abuse. This role protects the integrity of our copay and voucher assistance programs in the marketplace across Valeris</div><div></div><div><br>
The FWA Investigative Analyst will be responsible for reviewing all client related aspects of monitoring, detection, investigation, and reporting of fraud, waste, or abuse against co-pay and voucher programs to reduce and proactively protect our clients&rsquo; programs from suspicious behaviors. The FWA Investigative Analyst will daily analyze suspicious claim activity and other behaviors identified by internal tools and external referrals that will trigger an investigation analysis including, but not limited to, data analysis, online record searches/validations, calls to pharmacies and/or healthcare providers, and work with our internal teams and processors to determine if fraud and/or abuse is occurring.
</div>Responsibilities:
<ul><li>Investigate cases of potential pharmacy fraud, waste, or abuse that are identified through analytical tools, external referrals, and other sources.</li><li>
Collect and evaluate potential suspicious patterns in claims data</li><li>
Develop and deploy the most efficient investigative strategies for each investigation.</li><li>
Analyze data and trends from claims where Valeris patient assistance programs have been processed that exhibit suspicious behavior.</li><li>
Manage case reviews, case files, overpayment recoveries, and coordination with other departments to mitigate and remedy FWA (fraud, waste, and abuse).</li><li>
Communicate timely with assigned client(s) via email and/or telephone on a cadence to be determined by the client.
</li><li>Participate in monthly, quarterly, and annual business reviews as needed with our clients and internal partners.</li><li>
Document all investigative and pharmacy and/or healthcare provider outreach activities and correspondence appropriately.</li><li>
Conduct pharmacy and/or healthcare provider inquiry phone calls to audit and confirm claim data is accurate.</li><li>
Ensure all internal Standard Operating Procedures (SOP) are followed in a timely manner and stay up to date.</li><li>
Lead cross functional initiatives to continually examine and enhance processes and technology used to identify and report suspicious claim activity.</li><li>
Assist in the development of policies and procedures to improve our processes and procedures</li><li>
Properly control the release of confidential information and maintain confidentiality</li><li>
Review monthly metrics and prepare reports for internal and external use.</li><li>
Record and maintain master blocked pharmacy, patient and/or healthcare provider records. Communicate and coordinate any changes to the pharmacy network with our processors.</li><li>
Create case file with all evidence and its impacts to Valeris programs to be reviewed and approved by Valeris management and Chief Compliance Officer.
</li><li>Conduct other internal tasks that ensure FWA is proactively identified and researched prior to a full investigation.</li><li>
Other duties as assigned such as special investigation cases or other initiatives, as necessary.</li><li>
Utilize Valeris&rsquo; values as the driving force behind the team&rsquo;s success</li><li>
On time adherence to training deadlines for all corporate policies and procedures</li><li>
Ensure all SOPs are followed with consistency</li><li>
Perform additional tasks or projects as assigned</li></ul>
Qualifications:
<ul><li>2-5 years&rsquo; experience in investigations pharmacy/healthcare FWA.</li><li>
Bachelor's degree from a 4-year college or university or equivalent level of training and experience.</li><li>
Demonstrate a strong power of analytical reasoning</li><li>
Possess knowledge of the pharmaceutical industry and claim data, particularly how claims are processed as well as trends that indicate suspicious activity.</li><li>
Experience with medical and/pharmacy claim processing, forms, and workflow. Claim billing experience a plus.</li><li>
Knowledge of MS Excel and Word.</li><li>
Open to learning Valeris/vendor proprietary software and systems</li><li>
Must have excellent verbal and written communication skills.</li><li>
Well organized and able to perform under pressure, ability to prioritize, and plan proactively in a methodical manner</li><li>
Superior people skills, relationship building, and ability to work with diverse groups of colleagues and clients</li><li>
Experience presenting to leadership and external business partners, as necessary.</li></ul><p><b>
Why Work for Valeris?</b></p><p>
We&rsquo;re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:</p><ul><li>
Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs</li><li>
Additional health support, including telehealth and Employee Assistance Program (EAP) services</li><li>
Company match on Health Savings Account contributions</li><li>
Free Basic Life and AD&amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000</li><li>
Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability</li><li>
401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting</li><li>
Paid Time Off (PTO) and Sick Leave to support work-life balance</li><li>
Team members receive nine paid holidays plus two floating holidays</li><li>
Opportunities for advancement in a company that supports personal and professional growth</li><li>
A challenging, stimulating work environment that encourages new ideas</li><li>
Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace</li><li>
A mission-driven, inclusive culture where your work makes a meaningful impact</li></ul><p><b>
Our Commitment to Equal Opportunity</b></p><div>
At Valeris, we don&rsquo;t just accept difference &ndash; we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.</div></div>

FWA Investigative Analyst--Pharmacy

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Pharmacy Analyst II - Employee Benefits

Pharmacy Analyst II - Employee Benefits

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Senior Revenue Integrity Pharmacy Analyst, Revenue Integrity/Coding Administration, Days, Fully Remote

Pharmacist Analyst – Pharmacy Dispensing Systems

Compliance Analyst, Pharmacy Programs

FWA Investigative Analyst--Pharmacy