Platform Operations Analyst – Medication Rebates

🕒 Julho 9

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $100.000 - $130.000 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

⚙️ Operações

👻 Score fantasma 11%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Evio

11 - 50 funcionários

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

A Evio é uma empresa de soluções em saúde que se concentra em reduzir os gastos elevados com medicamentos e melhorar os resultados dos pacientes através do uso de evidências do mundo real, modelos inovadores de contratação e uma abordagem orientada por dados. Pertencente a cinco planos de saúde independentes, a Evio atende mais de 20 milhões de membros fornecendo análises, contratação baseada em valor e insights para planos de saúde e fabricantes de produtos farmacêuticos. Suas soluções visam aumentar a transparência nos custos de saúde, melhorar a terapia medicamentosa e otimizar o atendimento ao paciente. A Evio está comprometida com uma cultura orientada por valores e utiliza sua expertise em economia da saúde, pesquisa de resultados e ciência de dados para apoiar sua missão.

Descrição

• Join Evio’s analytics team to work with both internal and external stakeholders to operationalize Evio’s rebate administration platform supporting a full medical medication rebate portfolio • Serve as liaison between analytics and technology teams to translate operational and business needs into meaningful technical solutions • Partner with technology teammates to define, prioritize, test, and implement platform enhancements that improve operational efficiency and user experience • Troubleshoot platform and data issues, working with technology teammates to identify root causes and implement solutions • Creatively solve operational business challenges to ensure the platform enhancements by the technology team effectively support the needs of the users and operators • Develop new analytics and technology that strengthen Evio’s evaluation of medical medication contract performance • Support rebate administration operations as needed, including invoicing, reconciliation, and reporting analytics • Facilitate data ingestion and standardization of critical medical medication rebate data extracts received from Blue Cross Blue Shield health plans • Work independently and efficiently while managing multiple priorities

🎯 Requisitos

• Bachelor’s degree • 7+ years of experience in medical or pharmacy rebate operations at a pharmacy benefit manager (PBM), health plan, or similar health care organization • Experience supporting operational workflows for medical or pharmacy claims or rebates • Highly proficient in Microsoft Excel, SQL, and/or similar business analytic or data modeling tools • Proficient in Python, Java, Javascript or other programming languages • Familiarity with Medispan or First Databank drug reference systems • Working knowledge of medical coding systems (HCPCS and CPT) and experience applying these codes in analytics • Experience working closely with technology teams supporting, implementing, or optimizing business applications, analytics platforms, or operational systems • Superior operational problem-solving skills with the ability to identify process improvements and driving automation or other workflow efficiencies • Demonstrated learning agility and the ability to quickly understand new concepts and technologies • Collaborative teammate with a passion for using data to inform decisions • Experience in working with large, complex databases and process automation • Strong communication and stakeholder management

🏖️ Benefícios

• Great Health Insurance - The company pays 100% of medical, dental, and vision premiums for teammates, and 50% for dependents. • 401K Match - Evio matches 100% of teammate contribution up to 5% of salary, subject to IRS limits. • Time Off - We have a flexible vacation policy for teammates to unplug and recharge when you need it. There is no minimum or maximum amount of vacation allowed per year, and there is no payment in consideration for unused vacation. Vacation is to be used at your discretion, with approval of leadership. • Parental Leave - Generous paid leave for new parents (includes birth and non-birth parents).

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