Pharmacy Staff Analyst
About The Position
The Pharmacy Analyst in our Pharmacy group will perform analysis, data manipulation and review of pharmacy claims and price data; work with pharmacists, programmers, database administrators and other analysts to create programs utilized to extract datasets; build fiscal impact models; perform quality reviews on program output; interpret data results; and prepare and format data for use by team members and clients. Essential Functions and Primary Duties Assist with calculation of rates and fiscal modeling based on pharmacy data Assist on pharmacy related performance audits of health plans Assist on pharmacy benefit manager audits and claims audits Assist in the development of criteria and creation of programs with the program design team used to analyze pharmacy claims data Perform quality reviews of the data output Analyze data output and interpret results Manipulate and format data for ease of use by team members and clients Interface with multi-disciplinary team in multiple office locations Maintain security and confidentiality of all protected health information when analyzing material Maintain thorough electronic documentation
Requirements
- Bachelor's degree in accounting, finance, health policy, health care administration, health information, criminal justice or related field
- Strong analytical and problem solving skills
- Database and spreadsheet application knowledge
- Proficient use of applicable software programs, including Microsoft Office suite (specifically Excel, Word, and Access); familiarity with Excel macros
- Experience working with relational databases (e.g., Microsoft SQL Server) preferred
- Experience working with various data visualization tools such as Tableau, Microsoft Power BI, etc.
- Experience with querying large data sets from a variety of sources
- Experience reading and understanding stored procedures
- Experience loading tables into SQL
- Experience in the analysis of pharmacy or medical claims data
- Experience working for a Prescription Benefit Manager (PBM), health plan, or pharmacy claims processor is beneficial
- Well organized with a high degree of accuracy and attention to detail
- Must be able to manage multiple deadlines and prioritize assignments
Responsibilities
- Assist with calculation of rates and fiscal modeling based on pharmacy data
- Assist on pharmacy related performance audits of health plans
- Assist on pharmacy benefit manager audits and claims audits
- Assist in the development of criteria and creation of programs with the program design team used to analyze pharmacy claims data
- Perform quality reviews of the data output
- Analyze data output and interpret results
- Manipulate and format data for ease of use by team members and clients
- Interface with multi-disciplinary team in multiple office locations
- Maintain security and confidentiality of all protected health information when analyzing material
- Maintain thorough electronic documentation
Benefits
- Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates
- Vacation time, sick time, and paid holidays
- Paid Parental Leave and available support resources
- 401K with company matching for eligible employees
- Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
- A combination of technical and leadership development training at each career milestone
- Up to six counseling sessions per year for eligible employees through our Employee Assistance Program
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
