Senior Pharmacy Reporting Analyst

Lakeland, FL

Post Date: 08/11/2017 Job ID: 23117 Category: Pharmacy

Position Summary:
  • Under the direction of the Senior Vice President of Clinical Strategy, the Senior Pharmacy Reporting Analyst will support and advise internal customers to enable data driven decision-making.
  • This role will design, develop, maintain, and implement internal data management processes, custom reports and analytic tools/applications to support the clinical and pharmacy leadership.

Essential Responsibilities/Accountabilities:
  • Develops on-going knowledge of varied data sources and structures to independently take in business requirements, design and execute on requests.
  • Models and tracks pharmacy savings on a monthly basis and makes recommendations, as needed.
  • Supports need to support Employer Groups and Sales by collaborating on RFP s to grow business.
  • Assists in the bidding process to maintain current groups and potentially gain new business.
  • This includes but not limited to re-pricing of claims, savings estimate, etc.
  • Supports with claims submissions to various rebate vendors.
  • Helps analyze competing offers on drug rebate to determine best deal.
  • Participates in problem-solving and investigation, analyses, special projects and research projects as requested.
  • Assists in identifying cost containment and quality improvement opportunities and makes recommendations to customers for further analysis opportunities.
  • Researches, identifies, reviews and evaluates emerging trends that occur in the pharmacy industry.
  • Organizes and prioritizes tasks, proposes work assignments so as to successfully complete projects in a timely manner.
  • Manages multiple projects with competing deadlines to successful completion.
  • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
  • Collect, analyze, and interpret pharmacy data.
  • Develop awareness of pharmacy plan design, cost factors and the renewal process.
  • Evaluate managed pharmacy programs and prepare reports on findings.
  • Participate in client meetings to advise on data issues and address pharmacy questions.
  • Participate in a variety of special projects such as benchmarking and contract analyses.
  • Support clients with various pharmacy issues and projects.
  • Provide consultative analyses and RFP data to support membership growth and retention.
  • Conduct trend driver analyses, outcomes reporting and benchmarking to support trend management and forecast.
  • Develop reports to support efficient operations and regulatory requirements.
  • Develop pharmacy data, reporting methods and tools to facilitate pharmacy program and business strategy planning.
  • Utilizes programming software to efficiently develop process or tools to analyze relevant data from various sources and interprets and presents analytic results for all ad hoc and ongoing reporting requests.
  • Serves as pharmacy data liaison to key stakeholder areas and supports business and strategic project planning and implementation.
  • Develops innovative analyses and reports using understanding of the business need for information.
  • Conducts independent analysis of high complexity under minimal supervision and guidance.
  • Performs other functions as assigned by management.

  • BS/BA in Business or related field (e.G. Finance, Computer Technology, etc.)

  • Experience with Visual Analytic tools required (Tableau, SAS Visual Analytics, Power BI).
  • Requires advanced data analytic skils with SAS, Business Objects, Microsoft Office (e.G. Access and Excel including VBA).
  • Other data analytic experience is a plus (e.G. Crystal Reports, Unix, SQL/PL-SQL).
  • Requires 3-5 years experience in health care (Health Plan, Pharmacy Benefit Management or government payer).
  • Must have sufficient familiarity with the technical, clinical, and financial concepts necessary to adequately perform the duties described above.
  • Demonstrated ability to work with pharmacy claims data and familiar with pharmacy data parameters available for analysis.
  • Prior experience and demonstrated ability to work with large datasets required.
  • Experience with designing analytic plan using sound statistical approach to solve complex questions or evaluate program ROI.

  • Has strong knowledge of excel and advanced excel features.
  • Has strong mathematical skills.
  • Has strong analytical and organizational skills.
  • Has strong people skills.
  • Has good understanding of the Pharmacy business.
  • Has the ability to pick up new technology tools quickly.
  • Accounting or financial experience a plus.
  • Knowledge of SQL tables and data models a plus.

Environmental/Working Conditions:
  • This position is in a typical office environment which requires prolonged sitting and standing in front of a computer.
  • In addition, this position requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including the operation of standard computer and phone equipment.
  • May have occasional high stress when dealing with customers/clients and employees.

A-Line Staffing Solutions



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