Job Description
- Manage a growing team of analysts, overseeing tasks such as hiring, training, and career development.Â
- Supervise the delivery for an expanding client base, including configuring processes to meet client needs.Â
- Drive a high standard for quality through effective Quality Assurance (QA) and management processes.Â
- Enhance metrics and Key Performance Indicators (KPIs) for monitoring status, assessing time to delivery, and evaluating processes using Salesforce.Â
- Identify opportunities for process improvement to enhance direct margins.Â
- Collaborate with the development team on designing and testing platform improvements.Â
- Partner with Marketplace to drive more standardized contract language, positively impacting direct margins.Â
- Develop expertise in the product, eventually contributing to Quality Control (QC) efforts during peak-cycle times.Â
- Interpret clients’ contractual pricing terms and benefit plan details.Â
- Model these terms using logical rules in the claims review system.Â
- Analyze system results for pricing and contract adherence.Â
- Verify prescription drug discounts and conduct end-of-year reconciliations when discrepancies are identified.Â
- Generate reports containing findings from claims analysis and contract compliance reviews.Â
- Produce ad-hoc analyses to support internal and customer requests, utilizing Excel and business intelligence tools.Â
- Communicate with third parties to understand contract terms and provide performance status updates.Â
- Communicate findings and provide subject matter expertise to pharmacy benefit consultants and internal partners.Â
- Collaborate with business and technical colleagues to monitor, analyze, and implement product enhancements.Â
- Manage delivery deadlines and schedules.Â
- Document workflow using Salesforce.Â
- 4-6 years of management experience: Proven track record in leading operational analytics teams.Â
- 4-6 years of healthcare analysis experience: Demonstrated expertise in performing analyses within the healthcare domain.Â
- Proven process improvement skills: Track record of initiating and implementing process improvement initiatives in an operational healthcare analytics settingÂ
- KPI development and monitoring: Experience in developing and overseeing Key Performance Indicators (KPIs) to measure team and process effectiveness.Â
- Advanced Excel skills: Proficient in utilizing advanced features of Excel for data analysis and reporting.Â
- Analytic result reporting: Experience in reporting on analytic results and effectively presenting findings to non-technical audiences.Â
- Logical reasoning and critical thinking: Ability to apply logical reasoning and critical thinking skills to contract interpretation, data transformation, and problem-solving.Â
- Communication skills: Strong written and verbal communication skills to convey complex information effectively.Â
- Project planning and time management: Demonstrated ability in project planning, time management, and handling multiple priorities simultaneously.Â
- Career development: Experience in partnering with analysts for their career development.Â
- Remote team management: Successful track record in managing remote teams effectively.Â
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Date Posted
12/10/2023
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