Pharmacy Reporting Analyst

AnalystAnalystFull TimeRemoteMid LevelTeam 501-1,000

Location

United States

Posted

50 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Pharmacy Reporting Analyst

WellDyne

At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable. Our Vision: Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential. Our Mission: To be the disruptive force that drives meaningful change within pharmacy services. Summary Under the direction of the Chief Clinical Officer, the Pharmacy Reporting Analyst will support and advise internal customers to enable data driven decision-making. This role will design, develop, maintain, and implement internal data management processes, custom reports and analytic tools/applications to support the clinical and pharmacy leadership. Essential Duties and Responsibilities - Develops on-going knowledge of WellDyne’s varied data sources and structures to independently take in business requirements, design and execute on requests. - Models and tracks pharmacy savings on a monthly basis and makes recommendations, as needed. - Supports WellDyne’s need to support Employer Groups and Sales by collaborating on RFP’s to grow business. Assists in the bidding process to maintain current groups and potentially gain new business. This includes but not limited to re-pricing of claims, savings estimate, etc. - Supports with claims submissions to various rebate vendors. Helps analyze competing offers on drug rebate to determine best deal. - Participates in problem-solving and investigation, analyses, special projects and research projects as requested - Assists in identifying cost containment and quality improvement opportunities and makes recommendations to customers for further analysis opportunities. - Researches, identifies, reviews and evaluates emerging trends that occur in the pharmacy industry. - Organizes and prioritizes tasks, proposes work assignments so as to successfully complete projects in a timely manner. - Manages multiple projects with competing deadlines to successful completion. - Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. - Collect, analyze, and interpret pharmacy data; - Develop awareness of pharmacy plan design, cost factors and the renewal process; - Evaluate managed pharmacy programs and prepare reports on findings; - Participate in client meetings to advise on data issues and address pharmacy questions; - Participate in a variety of special projects such as benchmarking and contract analyses; - Support clients with various pharmacy issues and projects; - Provide consultative analyses and RFP data to support membership growth and retention - Conduct trend driver analyses, outcomes reporting and benchmarking to support trend management and forecast - Develop reports to support efficient operations and regulatory requirements - Develop pharmacy data, reporting methods and tools to facilitate pharmacy program and business strategy planning - Utilizes programming software to efficiently develop process or tools to analyze relevant data from various sources and interprets and presents analytic results for all ad hoc and ongoing reporting requests. - Serves as pharmacy data liaison to key stakeholder areas and supports business and strategic project planning and implementation. - Develops innovative analyses and reports using understanding of the business need for information. - Conducts independent analysis of high complexity under minimal supervision and guidance. - Performs other functions as assigned by management. Education and Experience - BS/BA in Business or related field (e.g. Finance, Computer Technology, etc.) - Experience with Visual Analytic tools required (Tableau, SAS Visual Analytics, Power BI) - Requires advanced data analytic skills with SAS, Business Objects, Microsoft Office (e.g. Access and Excel including VBA). - Other data analytic experience is a plus (e.g. Crystal Reports, Unix, SQL/PL-SQL).Requires 3-5 years experience in health care (Health Plan, Pharmacy Benefit Management or government payer). - Must have sufficient familiarity with the technical, clinical, and financial concepts necessary to adequately perform the duties described above. - Demonstrated ability to work with pharmacy claims data and familiar with pharmacy data parameters available for analysis. Prior experience and demonstrated ability to work with large datasets required. - Experience with designing analytic plan using sound statistical approach to solve complex questions or evaluate program ROI. Knowledge, Skills, and Abilities - Has strong knowledge of excel and advanced excel features. - Has strong mathematical skills. - Has strong analytical and organizational skills - Has strong people skills. - Has good understanding of the Pharmacy business. - Has the ability to pick up new technology tools quickly - Accounting or financial experience a plus. - Knowledge of SQL tables and data models a plus Work Environment / Physical Demands This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required. EOE M/F/D/V – WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.

Related Categories

Related Job Pages

More Analyst Jobs

CVS Health logo

Senior Analyst, Client Audit - Rebates

CVS Health

Bringing our heart to every moment of your health.

Analyst50 days ago
Full TimeRemoteTeam 10,001+Since 1963H1B No Sponsor

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health is currently looking for a dynamic individual to join our team in a Senior Analyst role. This is a client facing project management / auditor position that is responsible for coordinating, managing, tracking, reviewing, researching, and assisting with multiple rebate audits initiated by CVS Health clients. In this position, the Senior Analyst will work closely with clients, various auditors, the client account team, legal, and many other internal departments to ensure the completion of requested audits with consistency and minimal disruption to the business. This position needs to be able to manage multiple audits at the same time with short turnaround times. The Senior Analyst will be responsible for the timely and satisfactory resolution of exceptions identified during the audit process, specifically related to rebates. Skills must include abilities to analytically identify, track and review large datasets. As a Senior Analyst of Client Audit, you will be responsible for the following: - Work directly with the third-party auditors, the client and all the internal business areas involved in the audit - Needs to be able to juggle all competing priorities - Coordinate, manage, track the audits from start to closure - Gathering, reviewing and analyzing deliverables to proactively resolve issues - Review and research all questions from the auditor and account teams - Work through and resolve any alleged issues, working strategically and achieving results - Respond back to the auditor including drafting open item and report responses - Raise the appropriate items to senior leaders and doing so timely - Documenting correspondence with internal partners, clients, and auditors - Tracking all audit progress to ensure that all deliverables are provided by due dates - Submitting any issues found through the correction and reimbursement process The ideal candidate will possess the following: - Knowledge or background of pharmacy rebates - Ability to actively seek new ways to grow and be challenged - Critical thinking - Easily adapting to change - Excellent verbal and written communications skills - Strong Project Management skills that include the ability to adapt and deal effectively in dynamic, possibly unpredictable, environments while efficiently managing multiple projects from initiation through to completion. A working contributor responsible for each project’s success. - Ability to interact effectively with third-party auditors and clients - Strong ability to maintain attention to detail and organizational skills. Required Qualifications - 1+ years of prior relevant experience in audit or project management Preferred Qualifications - Past project management experience is desired. - Proficiency in Microsoft Word, Excel, PowerPoint, Salesforce - Experience with writing and/or running queries - Familiarity with healthcare benefit navigation/data mining tools Education - Bachelor's degree required or equivalent years of education and experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $102,000.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 04/23/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

United States
$47.0K - $102K / year
Full TimeRemoteTeam 10,001+Since 2008H1B Sponsor

• Provides essential, courteous and prompt provision of operational support relating to assigned application systems • Analyzes customer problems of low complexity • Assesses scope of impact and mitigates customer impact of issues • Executes work arounds and implements problem resolution as identified in documented solutions • Engages others as appropriate and escalates as required • Provides advice or training to users about the application systems' functionality • Proactively monitors production and nonproduction environments and/or applications • Conducts root cause analysis and correlation of other system and/or application problems • Participates in project planning sessions with team members • Manages multiple and sometimes competing priorities with guidance • Aids the preparation of status updates for customer problems or projects

District Of Columbia + 4 moreAll locations: District Of Columbia | New York | Michigan | Minnesota | Texas
$61K - $113.4K / year
Job Closed
IMH logo

Application Analyst

IMH

Une société du Groupe IMA

Analyst50 days ago
Full TimeRemoteTeam 501-1,000Since 2007H1B No Sponsor

• Provides application and technical support by analyzing, diagnosing, and resolving incidents, issues, and problems in accordance with established service levels and department standards. • Works with stakeholders to gather, validate, and translate business and technical requirements into clear design and development specifications, while supporting product management activities. • Configures, tests, installs, implements, monitors, and maintains common to complex systems, including applications, workflows, processes, and related hardware. • Documents current and future-state workflows and recommends technical and functional design solutions to support business needs. • Partners with external vendors to support third-party applications, including integration, implementation, troubleshooting, and ongoing support. • Serves as a project manager for small to mid-size projects involving multiple teams and completes related project management functions. • Collaborates effectively with peers, internal stakeholders, external partners, and vendors to achieve project and operational goals. • Adheres to documentation, change management, and configuration management standards. • Assists in the development and maintenance of testing plans and test scripts to validate system functionality, outputs, and integrity. • Participates in the creation and delivery of training materials and knowledge-based documentation for peers, end users, and other team members. • Configures and integrates electronic and mechanical hardware with software solutions to meet defined functional requirements. • Develops an understanding of business reporting needs and supports reporting solutions for end users. • Participates in on-call rotations and command center activities, as applicable. • Attends and actively participates in team, project, and department meetings to promote communication, collaboration, and information sharing. • Works with project requesters to define and deliver minimum viable products (MVPs) for requests submitted in ServiceHub. • Requests and coordinates resources for projects and enhancement efforts using the ServiceHub Resource Planning process.

Colorado
$32 - $50 / hour
Job Closed

IT EPIC Sr Application Analyst

CommonSpirit Health

CommonSpirit Health is a nonprofit organization that is on a mission to improve people’s health while making “the healing presence of God known.” The orga

Analyst50 days ago

Where You’ll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities *** This position does require 50% travel during the first five (5) years. *** Job Summary Expert in one or more highly specialized areas within the healthcare environment. Role in developing clinical/business solutions. Design and present solutions and options that improve patient care, enhance patient engagement, improve operational efficiency and improve the organization's financial position. Integrates organizational knowledge with thoughtful design. Reviews and analyzes systems including testing and documenting Epic applications. Understands system options and configurations completely and can suggest and lead teams through decisions on the best way to configure and utilize the system. Job Responsibilities - Designs, builds, tests, implements, and supports information technology solutions to meet operational and clinical needs. - Also, provides consultation for program design, coding, testing, debugging and documentation. - Understands system options and configurations completely and can suggest and lead teams through decisions on the best way to configure and utilize the system. - Analyzes, designs, and makes recommendations to improve existing systems and/or methods, and provide written, detailed reports. - Creates thorough system design and build documentation. - Collaborates with other analysts, staff, vendors, and leadership. - Translate high-level business requirements to detailed technical designs/documentation. - Leads large/complex projects or initiatives. - Supports/maintains day-to-day existing functionality/programs/applications including ancillary systems support. - Coordinates all phases of a system optimization or upgrade project and provides production services, such as recommending improvements to strategy, system usage and process through the application of business and technology skill sets. Supports continued system maintenance and optimization. - Serves as resource and advocate for assigned user group(s). Assists with a variety of related projects and staff education on an ad hoc basis. Provide solutions for application issues and complex support for troubleshooting difficult situations. Acts as the group resources for complex issues needing resolution. Mentors other analysts on troubleshooting issues of intermediate to advanced complexity and creating system design solutions. - Performs advanced system analysis and troubleshooting to implement new functionality/programs/applications, and to analyze/research vendor release notes and documentation; understanding complete end-to-end system integration. - Identifies and manages new system specifications or user services and coordination of installations. - Assesses assigned user areas for efficiencies and effectiveness. Evaluates alternative services and technology solutions on an ongoing basis and assures cost-effective solutions. Responsible for providing systems support. Ability to coordinate various systems. - Coordinates the preparation of departmental and interdepartmental policies and procedures, job functions, operating procedures, manuals, and system documentation. Performs advanced analysis using databases and data reporting tools. - Maintains complete and up-to-date project documentation for all assigned projects. Meeting with department heads on a routine basis to identify and prioritize their needs. - Works closely with customers to document requirements and communicate effectively with customers and peers to implement changes. - Facilitates performance improvement for the effective use of information technology. Assists in identifying any barriers to adoption of clinical practice. Supports business/clinical operations with clinical and financial end users. Analyze the functionality of the system and how it fits or not with operations; The ability to troubleshoot basic problems and recommend and take appropriate action as required. - On-call coverage (after business hours and weekends) is sometimes required, on a rotational basis or as-needed, if circumstances warrant. - Some travel required, both locally and overnight. Job Requirements Required - Bachelors Other in related field or 4 years of equivalent experience may be considered in lieu of Bachelor's degree, upon hire and - 3 years working with systems analysis programming/design; and - 5 years of additional relevant experience: application support, implementation; or - Development experience with applications in a hospital or medical related industry. - EPIC Certification, within 120 Days

United States
$52 - $78 / hour