Risk Manager

🕒 Março 12

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EmpiRx Health

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2014

💊 Farmacêutico

⚕️ Seguro de Saúde

Pharmaceuticals • Healthcare Insurance

A EmpiRx Health é uma empresa de gerenciamento de benefícios farmacêuticos (PBM) orientada clinicamente e liderada por farmacêuticos, que foca na otimização de medicações e no cuidado farmacêutico baseado em valor. A empresa coloca os farmacêuticos no centro de seu modelo operacional, utilizando análises impulsionadas por IA e ferramentas de saúde populacional para fazer recomendações de medicação baseadas em evidências, melhorar os resultados dos pacientes e reduzir o custo total de medicamentos para os patrocinadores do plano. A EmpiRx oferece uma plataforma e serviços de PBM habilitados por tecnologia para empregadores, planos de saúde e farmácias, enfatizando um serviço centrado no cliente, economia clínica garantida e preservação das farmácias comunitárias.

Descrição

• Analyze and execute the compilation of, development of, and reporting of strategic project developments that involve interdepartmental risks. • Comparative analyses for a client or Book of Business across different time frames and track key statistics for priority clients from several focus areas such as clinical utilization or financial performance • Identify, analyze, and share conclusions based on finding of spend, utilization, and PMPM trends across the Book of Business as well as client level for various audiences (leadership, client-friendly, internal use by teams, etc.). • Collaborate with various stakeholders on new and ongoing monitoring, target setting, renewal or product strategies and solutions. • ROI analysis, performance monitoring, and identification of enhancements of clinical solutions for external and internal partners • Proficiently utilize internal and third-party platforms and reporting tools needed (e.g., Databricks, Power BI, DOMO) • Effectively utilize project management tools (e.g., Azure DevOps, JIRA, etc.) to communicate and track requests with other internal teammates. • Assist with ad-hoc projects that involve the various risk teams, • Follow all defined practices, processes, and procedures with inter-departmental teams such as Finance, UW, and Client Experience • Develop and maintain strong relationships with key teams including Care Management, Client Management, and Finance • Handle ad hoc requests from Care Management, Client Experience, and Finance teams • Effectively support fellow peers, as needed

🎯 Requisitos

• Bachelor’s degree • At least 3 years of PBM experience or at least 4 years of experience in Analytics, Business Intelligence or similar • Strong data science skills using tools like SQL, R, Python, or SAS. • Advanced analytical skills, with the ability to perform complex analysis and make recommendations based on statistical inferences. • Experience with a wide variety of analytical or statistical methods. • Excellent critical thinking and problem-solving skills • Ability to work in a fast-paced environment • Proficient in Microsoft Office Suite • Excellent time management skills and ability to meet deadlines

🏖️ Benefícios

• Paid Time Off • 401(k) program • Health Insurance including Dental & Vision coverage • Student Loan Reimbursement • Health Savings Account • Employee Assistance Program