Manager, Pharmacy Analytics and Auditing

University Health System • San Antonio, TX

70d • $27 - $44

About The Position

Provides technical and methodological design consultation, database development, data management, statistical analysis and results interpretation/reporting for a variety of internal and external projects, including, but not limited to, the University Health Medication Assistance Program (MAP) and 340B Drug Discount Program (340B Program) auditing and program compliance. Specific responsibilities include utilization of mainframe databases for the identification of appropriate study populations; data management, analysis planning and statistical analysis of data collected from data sources, patient surveys and claims data, ensuring timeliness and accuracy of data integration between the MAP and Pharmacy Department databases and managing 340B program internal audits. Develops complex reports from large, relational databases; and prepares policy statements and recommendations to assist UH to improve the quality of patient services. Maintains the Cost Accounting System for MAP and reports cumulative expenditures and savings generated by the assistance program.

Requirements

• BS/BA degree in business or a related field.
• Related pharmacy and/or healthcare billing experience.
• Five years' experience in a medical or pharmacology related field.
• Experience in project coordination.
• Database/spreadsheet development and management experience.
• Application programming experience.
• Experience in processing and overseeing medical insurance billing and reimbursement cost capture.

Nice To Haves

• Demonstrated appropriate independent judgment.

Responsibilities

• Provides technical and methodological design consultation.
• Database development and data management.
• Conducts statistical analysis and results interpretation/reporting.
• Utilizes mainframe databases for identifying appropriate study populations.
• Manages data integration between MAP and Pharmacy Department databases.
• Conducts internal audits for the 340B program.
• Develops complex reports from large, relational databases.
• Prepares policy statements and recommendations to improve patient services.
• Maintains the Cost Accounting System for MAP.
• Reports cumulative expenditures and savings generated by the assistance program.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Executive, Legislative, and Other General Government Support
• Education Level: Bachelor's degree