Advisor of Pharmacy Network Analytics & Reporting - Remote

Overview

The Advisor of Pharmacy Network Analytics & Reporting will be responsible for ensuring compliance with state and federal laws while producing required reports for clients and regulatory agencies.

In Short

• Research and respond to regulatory inquiries and provider complaints.
• Monitor claim adjustment activities for compliance.
• Produce reports for clients and regulatory agencies.
• Assist in outreach campaigns and claim research.
• Collaborate with various business units to develop processes.
• Track trends impacting clients and pharmacies.
• Work on multiple projects and meet deadlines.
• Handle sensitive financial data with discretion.
• Utilize computer skills including MS Office applications.
• Maintain knowledge of pharmacy business economics.

Requirements

• 5+ years of analytical experience in PBM or pharmacy.
• Bachelor's degree or equivalent work experience.
• Assertive and self-starter with decision-making abilities.
• Strong organizational and follow-up skills.
• Ability to manage complex situations and projects.
• Knowledge of claims adjudication processes.
• Solid math skills and understanding of financial terms.
• Ability to follow policies regarding Protected Health Information.

Benefits

• Competitive pay and comprehensive benefits package.
• 401(k) plan with company matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs and counseling services.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.
• Access to retiree medical benefits.