Senior Performance Guarantee Analyst

MedImpact•San Diego, CA

3d•$71,614 - $119,953•Onsite

About The Position

The Performance Guarantee (PG) Reporting and Financial Analyst manages the daily operations of the Client PG Reporting. This position is responsible for gathering data, analysis and preparation of client performance guarantee report packages on a monthly, quarterly and annual basis. The day-to-day operations involve the calculation of client performance, monitoring client reporting procedures, adhering to client reporting deadlines, quality control of client performance reporting standards. Special projects related to performance measurement systems. This role interacts with internal business units to ensure data reported is accurate and timely including identification of financial impact for missed metrics and client reconciliation financial reports.

Requirements

BS/BA and 5+ years’ experience or equivalent combination of education and experience
Strong proficiency with personal computers and MS Office products to include intermediate to advanced working knowledge of Microsoft Suite including Access.
Ability to read and interpret contracts
Strong analytical skills required
Basic understanding of concept of financial risk
High level technical skills and thorough understanding of business analysis.
Familiarity with relational databases
Broad knowledge of financial, statistical and health analytic principles required.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to effectively present information to top management, public groups, and/or boards of directors.
This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Nice To Haves

Prior pharmacy benefit management experience is ideal
Familiarity with SQL and Cognos is preferred.
Strong aptitude to learn and adapt to new programs

Responsibilities

Design long-term operational, technical and strategic solutions to effectively manage and accurately report client performance metrics.
Develop, translate and execute policies, business processes and standards into objectives.
Ensures that deliverables meet the quality levels expected by internal and external customers.
Responsible for automating the reporting requirements for the department and coordinating efforts with the onsite COGNOS business intelligence team.
Performs ad-hoc analyses as requested and needed by business owners, or in support of identified business objectives, with special focus on pharmacy network set-up and performance.
Analyzes data/results to ensure completeness and accuracy of metric reporting to clients.
Provides timely written report summary to clients.
Interprets and analyzes data outputs to explain possible anomalies that exist within the data to management and external clients.
Interprets and reviews Contract language for penalty calculation of non-performance of service agreement requirements.
Develops, prioritizes and manages analytical components required for client reporting regarding performance including creation of client reports for new and existing clients based upon terms identified in the client contract.
Participates in internal communication process for new and renewal metrics.
Partners with other MedImpact business units to effectively resolve customer issues and inquiries, implement new business processes, and design solutions that meet the mutual needs of MedImpact and its customers.
Utilizes planning, prioritizing, and organizational skills to effectively manage the assets, tools, and processes necessary to achieve business objectives and ensuring timely completion, reporting and delivery of reports to client.
Promotes continuous improvement by ensuring adherence to quality principles. Seeks out and actively participates in business initiatives that contribute to service excellence.
Actively participates as a member of cross functional workgroups, teams, and committees, as assigned.
Attends department and/or company sponsored training programs and meetings as needed.
Identify and establish solutions, standards and manage procedures for the quality and timeliness of work performed within the department.
Responsible for assisting in client resolution regarding failed performance guarantee metrics including historical trending, analysis and reporting.
Responsible for “Performance Guarantee (PG) Reporting” which includes, but is not limited to the following:
Prepare responses to support new and renewal business including metric standards, criteria, penalties and total risk.
Participate in internal prospective client and client implementation handoff meetings.
Manage the internal communication process for new and renewal metrics.
Facilitation and collection of metric results from internal department process owners and oversight of client reports on a monthly, quarterly and/or annual basis.
Quarterly and annual metric reconciliations to determine penalty payouts and related communications with account teams and clients;.
Support process in researching performance failure to identify process improvement within the organization, and client communications in conjunction with the account team.
Supports the Request for Proposal (RFP) process by providing network analyses that are accurate and responsive to RFP questions.
Organizes work to provide complete and accurate analyses in order to meet RFP deadlines.