Risk Performance Analyst

🔥 19 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🎲 Risk

👻 Ghost score 10%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of EmpiRx Health

EmpiRx Health

201 - 500 employees

Founded 2014

🏥 Healthcare

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Healthcare • 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

• Support and ensure achievement of enterprise goals • Proactively identify and address overlapping financial, clinical, and client-retention risks • Track complex interdepartmental risks and engage stakeholders to increase alignment • Assist in executing risk mitigation strategies • Provide client and initiative performance reports to leadership stakeholders • Serve as a subject matter expert for new products and services affecting multiple departments • Compile, develop, and report on strategic project developments involving interdepartmental risks • Build consultative relationships across departments to understand opportunities, identify risks, and develop mitigation strategies • Perform comparative analyses across time frames for clients or Books of Business • Track key statistics for priority clients and initiatives, including clinical utilization and financial performance • Identify, analyze, and communicate trends across the Book of Business and at client level • Collaborate on monitoring, target and goal setting, product strategies, and solutions • Conduct ROI analysis and performance monitoring, and identify enhancements for products and solutions • Use Databricks, Power BI, and DOMO, as well as project-management tools such as Azure DevOps and JIRA • Assist with ad hoc projects involving risk teams • Follow interdepartmental practices and procedures with Finance, UW, and Client Experience • Maintain relationships with Client Account Management, Finance, and Care/Clinical Management • Handle ad hoc requests from Care Management, Client Experience, and Finance teams • Support fellow peers as needed

🎯 Requirements

• Bachelor’s degree • At least 1 year of PBM experience or at least 2 years of experience in Analytics, Finance, Business Intelligence or similar • Excellent oral, writing and presentation skills • Ability to develop and deliver clear, crisp, and customer-focused messages and presentations to all levels of company team members • Strong data science skills using SQL, R, Python, or SAS • Analytical skills, including the ability to perform complex analysis and make recommendations based on statistical inferences • Excellent critical thinking and problem-solving skills • Ability to work independently and collaboratively in a deadline-driven environment • Relationship-building and networking skills with internal organization • Ability to work in a fast-paced environment • Proficient in Microsoft Office Suite • Excellent time management skills and ability to meet deadlines • Preferred: 1+ years of experience working with healthcare claims data and/or pharmacy data • Preferred: Proficiency in data visualization tools such as Power BI, Tableau, Looker, or Domo

🏖️ Benefits

• Paid Time Off • 401(k) program • Health Insurance including Dental & Vision coverage • Health Savings Account • Employee Assistance Program • Remote work arrangement

Apply Now

Similar Jobs

🕒 5 days ago

CTI Clinical Trial and Consulting Services

1001 - 5000

💼 Consulting

🏥 Healthcare

🧬 Biotechnology

RBQM Manager supporting risk-based quality management across CTI’s clinical trial portfolio. Coordinating risk plans, centralized monitoring, documentation, and cross-functional oversight.

🕒 September 9

Check

51 - 200

💳 Fintech

☁️ SaaS

🔌 API

Risk Analyst monitoring payrolls, investigating fraud, and improving risk systems for Check’s embedded payroll infrastructure. Remote US role collaborating with teams, partners, and customers.

🇺🇸 United States – Remote

💵 $80.8k - $105k / year

💰 $75M Series C - Check on 2022-02

⏰ Full Time

🟢 Junior

🎲 Risk

🚫👨‍🎓 No degree required

🕒 September 8

Astrana Health

1001 - 5000

💼 Consulting

📦 Logistics

🏥 Healthcare

Certified Risk Coder reviewing medical records and validating HCC diagnoses for Astrana Health’s value-based care programs. Educating providers and improving coding compliance remotely.

🕒 September 3

Dragonfli Group

11 - 50

🔒 Cybersecurity

💼 Consulting

Junior GRC Analyst supporting Dragonfli Group’s federal cybersecurity consulting programs. Executing NIST RMF activities, assessments, authorization artifacts, and compliance reporting remotely.

🕒 September 1

Growe Talents

11 - 50

💼 Consulting

📣 Marketing

🎯 Recruiter

Junior Risk Manager processing casino, payment, and fraud alerts for Growe’s iGaming advisory group. Investigating suspicious players and reporting anomalies across rotating shifts.