Risk Manager

🕒 March 12

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EmpiRx Health

201 - 500 employees

Founded 2014

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Pharmaceuticals • Healthcare Insurance

EmpiRx Health is a clinically-driven, pharmacist-led pharmacy benefits management (PBM) company that focuses on medication optimization and value-based pharmacy care. The company centers pharmacists in its operating model, leveraging AI-powered analytics and population health tools to make evidence-based medication recommendations, improve patient outcomes, and reduce total drug spending for plan sponsors. EmpiRx offers a technology-enabled PBM platform and services to employers, health plans, and pharmacies, emphasizing customer-first service, guaranteed clinical savings, and preservation of community pharmacies.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

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

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