Senior Data Analyst, Pharmacy Network

🕒 il y a 1 mois

🥔 Idaho – Distant

🥔 Idaho – Remote

💵 $58 460 - $70 434 / an

⏰ Temps Plein

🟠 Senior

📉 Analyste de Données

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Navitus Health Solutions

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2003

⚕️ Assurance santé

💊 Pharmaceutique

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

Navitus Health Solutions est un gestionnaire de prestations pharmaceutiques (PBM) qui propose des solutions transparentes et centrées sur les personnes pour les prestations pharmaceutiques, à destination des régimes de santé, des employeurs, des programmes gouvernementaux et d'autres parrains de régimes. L'entreprise opère sur un modèle de passage intégral à un coût majoré, qui met l'accent sur la réduction des coûts des médicaments, la gestion des formulaires, la gestion des médicaments spécialisés (y compris une pharmacie spécialisée à coût majoré), l'évaluation des réclamations, la gestion du réseau de pharmacies, ainsi que l'activation et le support des membres. Navitus se positionne comme un partenaire fiduciaire axé sur l'accessibilité, la conformité, la qualité clinique, et l'amélioration des résultats de santé grâce à des services PBM sur mesure et à des intégrations de santé numérique.

Description

• Responsible for completing reports and projects, such as detailed geo access, member disruption, state PBM licensing applications, state audit/adequacy reports, and pharmacy listing. • Work closely with the legal team to develop a significant understanding of state PBM and Pharmacy Access laws in order to build reports and capture applicable data to meet regulatory requirements. • Point of contact for team members, providing both support and data knowledge. • Provide support to key client needs in order to meet their specific business needs. • Recommend enhancements to existing systems in accordance with business needs by creating ad hoc and standard reports as well as new information delivery technologies. • Understand intermediate data relationship concepts and transform data into information that can be proactively used to improve business decisions. • Lead evaluation of applicable pharmacy network adequacy as required by clients or regulation. • Create pharmacy directories for our clients and their members that clearly identify the pharmacy services available to them and where they are located.

🎯 Exigences

• Bachelor's degree required. Emphasis in business, information systems, economics, or statistics preferred. • Minimum of 3 years of relevant experience with business, economic/financial modeling, or analytical programs. • Experience with SAS, SQL, and/or QlikView is required. • PBM or Managed Care experience is required. • PC skills: Microsoft Excel, Access, QlikView, SQL, and other applications as required.

🏖️ Avantages

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750!