Professional, Business Reporting Analyst
Job Description
Full-Time, Exempt
The Reporting Business Analyst will be responsible for one or more aspects of the Operational Reporting delivery lifecycle, including project management, business analysis, data, training, documentation, and support. The candidate must be extremely detail-oriented, have the ability to multitask, and be able to prioritize work and conversations to most effectively meet needs as the business grows
MAIN DUTIES/REPSONSIBILITIES• -Provides data analysis and projected utilization and costs for all lines of business and sub-groupings in aggregate for appropriate action.• -Performs monthly analysis of actual utilization and cost trends and compares/adjusts projected rates.• -Performs quarterly data pulls for rebate submissions and reconciliations.• -Evaluates and identifies inappropriate prescribing patterns from prescription and medical claims data for potential action by appropriate personnel.• -Coordinates paid claims data transfer between MVP and Pharmacy Benefit Manager, performs quality checks.• -Performs studies on data on previous and current utilization; downloading data from mainframe to PC; utilize software such as Excel, Access, and Pharmacy Benefit Manager programs.• -Evaluates and tests data; validates data; creates charts/graphs; summarizes results both verbally and in writing; identifies impact to organization from results. Subject Matter Expert on pharmacy claims and data. Represents Pharmacy Department on Data Governance initiatives. Performs other duties as assigned.
POSITION QUALIFICATIONS
Minimum Education:
Bachelor's Degree or equivalent combination of education and directly related experience will be considered
Minimum Experience:
Minimum of 3 years of experience in data analysis and report development. 2 years of previous work experience in healthcare/health insurance environment preferred
Required Skills:• -Intermediate skills with Excel, Access and other reporting tools• -Experience using data analysis and visualization tools such as Power BI or Tableau• -Familiarity with downloading; word processing, database, and spreadsheet skills• -Understanding of automation tools to streamline reporting processes• -Exceptional organizational and strong written and verbal communication skills • -Superior attention to detail and strong project management skills• -Team player with ability to adapt to a fast-pace, changing environment.• -Ability to work collaboratively and professionally • -Able to tolerate stress in a fast-paced environment• -Exceptional skills in critical thinking and problem-solving
-Ability to maintain confidentiality• Preferred Skills:
-Knowledge of and working experience with reading and writing SQL for report maintenance and creation• --Experience with Data Governance initiatives• -Familiarity with Microsoft Dynamics
About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at [email protected]
Please apply and learn more - including how you may become a proud member of our team.
Other details
- Job Family Pharmacy
- Pay Type Salary
Apply Now
Date Posted
10/31/2022
Views
5
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