About The Position

The Sr Analyst Client Performance & MAC Management is responsible for building and supporting processes pertaining to the performance of Client contracts, Client Audit and MAC Management. This role involves supporting the implementation, and refinement of strategies that ensure compliance to contractual obligations while maintaining profitability for the organization. The position requires a deep understanding of data analysis and risk management.

Requirements

  • Bachelor’s degree in finance, Business Administration, Economics, or a related field.
  • Minimum of 2 years of experience in MAC Management, Client Audit, Client Reconciliation, or a related field within the healthcare or insurance industry
  • Ability to work independently as well as in a team environment.
  • Proven experience in data analysis and financial modeling.
  • Excellent communication and interpersonal skills.
  • Proficiency in analytical software and tools (e.g., SQL, Excel, BI tools).
  • Ability to think strategically and drive results in a fast-paced environment

Nice To Haves

  • Strong knowledge of pharmacy benefit management and the pharmaceutical industry
  • Master’s preferred or equivalent experience
  • Professional credentials or qualifications

Responsibilities

  • Develop data analysis models and processes to support Client Audits, MAC Management, and profit optimization.
  • Implement pricing strategies to manage and maximize risk/profitability
  • Develop and implement guidelines and procedures to ensure consistency and accuracy.
  • Collaborate with management to develop long-term strategies to align with contractual obligations while driving value across the organization.
  • Identify opportunities for innovation.
  • Drive initiatives to improve profitability and competitive positioning.
  • Work closely with internal stakeholders, including Finance, Operations, Supply Chain and Account Management to ensure alignment on contractual obligations and profit strategies.
  • Communicate findings and recommendations to leadership and other key stakeholders.
  • Leverage advanced technology and data analytics tools to enhance processes and analytical capabilities.
  • Stay updated with industry trends and technological advancements to continuously improve practices.
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