Exemption Status:

United States of America (Exempt)

$82,074 - $110,800 - $139,526

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary:

The Data and Reporting Analyst is an expert in pharmacy data analytics. This position is responsible for analyzing data and preparing or establishing routine reports requested by the clients.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Provides qualitative and financial evaluations of Requests for Proposals (RFP) and PBM Contracts, including pricing, reimbursement, network rates, and fee schedules

Performs claim data analyses, trend evaluations, and incorporates market intelligence to respond to sales opportunities and requests from Clinical Sales Team.

Performs post-analyses to evaluate and improve prediction and forecasting models

Develops models to conduct detailed analyses of pharmacy data, including pharmacy claims, eligibility, quality measures, and incorporates basic medical/lab data.

Supports and contributes to completion of proposals, finalist presentations, exhibits, and marketing materials.

Assists team with creating complex, insightful analyses to promote proactiveness and innovation through data.

Collaborates with the team to design complex analyses and dashboards for internal and external users.

Investigates non-pharmacy data, such as medical, lab, and Social Determinants of Health (SDoH), to identify opportunities.

Performs impact analyses for regulatory, legislative, market, or contractual changes (forecast and/or post-change analyses).

Works closely with Clinical Sales Consultant Pharmacist to create and publish white papers, research posters, and external presentations, as directed by Clinical Sales leadership.

Utilizes multiple databases while adhering to strict reporting protocols and business standards

Recommends reporting and dashboard enhancements; revisions to reporting parameters; and other innovative, value-added modifications to meet the needs of internal and external customers.

Promotes continuous improvement by ensuring adherence to quality principles.  Seeks out and actively participates in business initiatives that contribute to service excellence.

Actively participates in continued professional development to stay up to date on the latest technical and information management enhancements and reporting best practices.

Education and/or Experience                                            

Bachelor's from a four-year college or university and 5 years minimum experience analyzing pharmacy data at a health plan or PBM. Related experience in PBM underwriting, RFP development, pharmacy reimbursement, pharmacy repricing analyses, and the identification and evaluation of health plan savings and/or quality initiatives strongly preferred. Must have a working knowledge of key business applications and have intermediate level skills in SQL or SAS coding.

Computer Skills

To perform this job successfully, an individual should have knowledge of Microsoft Office Suite and a proficient knowledge of Access, Excel and relational databases. Must have a working knowledge of key business applications and have intermediate level skills in SQL or SAS coding.

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