Analyst, Payor Operations and Solutions

Found in: Talent US C2 - 2 weeks ago

Deerfield, United States Walgreens Full time

Job Description

Analyzes data to support the decision making on individual proposals and contracts related to pharmacy programs. Data analysis may include new product pricing, product portfolio, profitability of new opportunities with current and new clients, impacts of regulatory changes, capital analysis, and profit margin analysis. Assists in the development, implementation, on-going monitoring of strategies and tools to ensure 3rd party pharmacy programs are in compliance with contractual terms and conditions pertaining to designated product or service offering.

Job Responsibilities

Creates and maintains reports and portals to post, track, and report on initiatives, policies and procedures, departmental forms, and contracted policies and information within contracts. Assists in the implementation processes of new third party plans and updates to ongoing third party plans; reviews and approves administrative paperwork prior to routing implementation information to the appropriate internal departments. Assists with tracking and resolving post-implementation issues related to contracts and pricing. Reviews contracts and provides feedback to management regarding potential opportunities, immediate needs related to contracted terms and programs, resolves contract compliance issues and tracks financial impact. Escalates issues as necessary. Assists in development of financial models to support management decision-making related to new product development, product portfolio analysis, profitability of new opportunities, capital investments, revenue models, profit margin analysis, and impact of regulatory changes. Presents findings to managements and makes recommendations that are market competitive and fit with Walgreens' strategy. Performs ad hoc analysis and forecasts for internal management team and external customers. Assist in the development of SOPs and provides guidance on processes, procedures, and functionality related to Contracts & Pricing. Develops and maintains client relationships by providing services required to meet client needs while monitoring operational policies and procedures; reports gaps in client service and business issues of non-compliance to management.  Assists field personnel and management in resolving member issues  About Walgreens and WBA :
Walgreens () is included in the , Inc. (Nasdaq: WBA), an integrated healthcare, pharmacy and retail leader with a 170 year heritage of caring for communities. WBA’s purpose is to create more joyful lives through better health. Operating nearly 9,000 retail locations across America, Puerto Rico and the , Walgreens is proud to be a neighborhood health destination serving nearly 10 million customers each day. Walgreens pharmacists play a critical role in the , including those that drive equitable access to care for the nation’s medically underserved populations. To best meet the needs of customers and patients, Walgreens offers a true omnichannel experience, with fully integrated physical and digital platforms supported by the latest technology to deliver high quality products and services in communities nationwide.
The actual salary an employee can expect to receive, plus bonus pursuant to the terms of any bonus plan if applicable, will depend on experience, seniority, geographic location, and other factors permitted by law. To review benefits, please visit

"

  • Business Analyst

    7 days ago

    Deerfield, United States Sinclaire Solutions Full time

    4+ years of technical documentation experience (Software, API, Online Help, Procedures, Parts Manuals, Catalogs, User Guides) Experience creating, publishing, updating content (online, print, mobile, desktop) Technical knowledge of high tech equipment or imaging equipment a plus Knowledge of MADCAP Flare a Must Business Analysts enable the transformation and...

  • Senior Information Security Operations Analyst

    Found in: Talent US C2 - 2 weeks ago

    Deerfield Beach, United States JM Family Enterprises Full time

    The Senior Information Security Operations Analyst is a member of the Information Security department and plays a pivotal role serving as the technical escalation resource for all Tier I/II analysts and engineers. As a Sr. Cyber Security resource you will investigate, assess, and document cyber threat and attack events to aid in the protection from new...

  • Mortgage Data Analyst

    5 days ago

    Deerfield, United States Strategic Staffing Solutions Full time

    Job Title: Mortgage Data Analyst Location: Riverwoods, IL HYBRID Duration: 6 Month contract with the chance of extending or converting to full time. Schedule: Mon - Friday 8-5 Client: Financial Services Pay Rate: 70-75/HR Required Qualifications: • 2 years of experience in Mortgage Lending or Mortgage Servicing Minimum Qualifications • Bachelor’s...

  • Mortgage Data Analyst

    6 days ago

    Deerfield, United States Strategic Staffing Solutions Full time

    Job Title: Mortgage Data Analyst Location: Riverwoods, IL HYBRID Duration: 6 Month contract with the chance of extending or converting to full time. Schedule: Mon - Friday 8-5 Client: Financial Services Pay Rate: 70-75/HR Required Qualifications: • 2+ years of experience in Mortgage Lending or Mortgage Servicing Minimum...

  • Mortgage Data Analyst

    1 day ago

    Deerfield, United States Strategic Staffing Solutions Full time

    Job Title: Mortgage Data Analyst Location: Riverwoods, IL HYBRID Duration: 6 Month contract with the chance of extending or converting to full time. Schedule: Mon - Friday 8-5 Client: Financial Services Pay Rate: 70-75/HR Required Qualifications: • 2+ years of experience in Mortgage Lending or Mortgage Servicing Minimum...

  • Senior Financial Analyst

    4 days ago

    Deerfield, United States Baxter Full time

    This is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxter’s products and therapies are found in...

  • Senior Financial Analyst

    1 week ago

    Deerfield, United States CareerBuilder Full time

    This is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. Youll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxters products and therapies are found in almost...

  • Data Analyst

    16 hours ago

    Deerfield Beach, United States Cloud BC Labs Full time

    Job DescriptionJob DescriptionTitle: Sr. Data AnalystLocation: Deerfield, FL (Hybrid 3/2)- 3 days onsite- prefer local to Florida 1st priority open to relocate from day one.Duration: 12 monthsClient: JM FamilyUSC or GC Sr. Data Analyst will be responsible developing an understanding of the business and department processes in order to provide data analysis,...

  • Senior Compliance Analyst

    1 week ago

    Deerfield, United States PSG Global Solutions Full time

    Description We're looking for a Senior Compliance Analyst , working in Pharmaceuticals and Medical Products industry in 1 Takeda Parkway, Deerfield, Illinois, 60015, United States . Job description: Accountable for investigating non-medical product complaints involving commercial products, ensuring the thoroughness and timeliness of these...

  • Business Analyst

    1 week ago

    Deerfield Beach, United States Saxon Global Full time

    Job Description: As a Sr. Business Analyst, you will join Scrum team working on a new implementation of a software that is replacing a legacy system. He/she will be working on a project from ground up based on a new implementation of software to handle warranty cancellations. Responsibilities include working with the business to document process, functions,...

  • Lead Senior Tax Analyst

    7 days ago

    Deerfield, United States CareerBuilder Full time

    Job Description Job Description Job Title: Lead Senior Tax Analyst Job Location: Deerfield, IL Job Type: Full Time Job Description: Identifies, recommends, and communicates tax savings opportunities to management and key stakeholders through presentations and periodic reporting. Provides advanced knowledge of new and existing tax methodologies by researching...

  • Lead Senior Tax Analyst

    2 weeks ago

    Deerfield, United States Global Information Technology Full time

    Job DescriptionJob DescriptionJob Title: Lead Senior Tax AnalystJob Location: Deerfield, ILJob Type: Full TimeJob Description:Identifies, recommends, and communicates tax savings opportunities to management and key stakeholders through presentations and periodic reporting.Provides advanced knowledge of new and existing tax methodologies by researching new...

  • Business Systems Analyst

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago

    Deerfield, United States Request Technology, LLC Full time

    NO SPONSORSHIPOracle Business Systems AnalystSALARY: $135K PLUS 10%BONUS 5% PAID QUARTERLYLOCATION: DEERFIELD, WI 53531Possibly hybrid - on site 3 days a weekThis role is 70% functional and 30% technical. Looking for a business systems analyst that has done configuration and implementation of oracle fusion SCM modules. Manufacturing quality purchasing...

  • Business Systems Analyst

    Found in: Appcast US C2 - 2 weeks ago

    Deerfield, United States Request Technology, LLC Full time

    NO SPONSORSHIPOracle Business Systems AnalystSALARY: $135K PLUS 10%BONUS 5% PAID QUARTERLYLOCATION: DEERFIELD, WI 53531Possibly hybrid - on site 3 days a weekThis role is 70% functional and 30% technical. Looking for a business systems analyst that has done configuration and implementation of oracle fusion SCM modules. Manufacturing quality purchasing...

  • Mortgage Data Analyst

    13 hours ago

    Deerfield, IL, United States Strategic Staffing Solutions Full time

    Job Title: Mortgage Data Analyst Location: Riverwoods, IL HYBRID Duration: 6 Month contract with the chance of extending or converting to full time. Schedule: Mon - Friday 8-5 Client: Financial Services Pay Rate: 70-75/HR Required Qualifications: 2 years of experience in Mortgage Lending or Mortgage Servicing Minimum Qualifications Bachelor's Degree in...

  • Mortgage Data Analyst

    Found in: Jooble US O C2 - 4 hours ago

    Deerfield, IL, United States Strategic Staffing Solutions Full time

    Job Title: Mortgage Data Analyst Location: Riverwoods, IL HYBRID Duration: 6 Month contract with the chance of extending or converting to full time. Schedule: Mon - Friday 8-5 Client: Financial Services Pay Rate: 70-75/HR Required Qualifications: • 2+ years of experience in Mortgage Lending or Mortgage Servicing Minimum...

  • Mortgage Data Analyst

    Found in: Jooble US O C2 - 4 hours ago

    Deerfield, IL, United States Strategic Staffing Solutions Full time

    Job Title: Mortgage Data Analyst Location: Riverwoods, IL HYBRID Duration: 6 Month contract with the chance of extending or converting to full time. Schedule: Mon - Friday 8-5 Client: Financial Services Pay Rate: 70-75/HR Required Qualifications: • 2+ years of experience in Mortgage Lending or Mortgage Servicing Minimum Qualifications Bachelor’s...

  • IT Risk

    5 days ago

    Deerfield, United States TalentFish LLC Full time

    Job Description Job Description Job Title: IT Risk & Compliance Analytics Analyst Primary Location: Hybrid, 3 days a week, Northwest Suburbs of IL Position Type: Direct Hire Overview TalentFish is casting a line for a dynamic & analytical IT Risk & Compliance Analytics Analyst. This is a hybrid, 3 days a week, role in the Deerfield, IL area. In this new role...

  • Senior Analyst

    Found in: Talent US C2 - 1 week ago

    Deerfield Beach, United States JM Family Enterprises Full time

    The  Senior Analyst (Data Analytics and Data Science)  is a key member of JM Family’s AI Center of Excellence (COE), a cross-functional team that delivers data-driven solutions to enhance business decision-making and innovation. The Senior Analyst supports the operations of JM Family’s COE by coordinating the COE’s efforts for maximum value....

  • IT Risk Compliance Analytics Analyst

    19 hours ago

    Deerfield, United States TalentFish LLC Full time

    Job Description Job Description Job Title: IT Risk & Compliance Analytics Analyst Primary Location: Hybrid, 3 days a week, Northwest Suburbs of IL Position Type: Direct Hire Overview TalentFish is casting a line for a _dynamic & analytical _**IT Risk & Compliance Analytics Analyst. **This is a hybrid, 3 days a week, role in the Deerfield, IL area. In this...