We are looking for a professional with over 4 years of experience in healthcare business roles, preferably in pharmacy departments of health plans or PBMs, and strong analytics skills. The role involves advanced analytics (SQL, Snowflake, Excel), linking medical and pharmacy data, analyzing total cost of care, and identifying savings opportunities. A solid understanding of data standards, file layouts, and ETL processes is essential. Experience with claims analysis reference files (NCPDP, Medi-span, First Databank, CMS ASP, NPPES) is required.
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4+ years experience in healthcare business role, preferably pharmacy department of health plan or PBM and in analytics
Advanced analytics (SQL, snowflake, advanced Excel) of claims, interpret findings, create and deliver slides, excel workbooks, etc with proper messaging
Linking medical and pharmacy data, analyzing total cost of care and identifying savings opportunities
Demonstrated understanding of data standards, file layouts, ETL process
Experience working with various data reference files for claims analysis- NCPDP, Medi-span, First Databank, CMS ASP and other public use files, NPPES and other provider reference sources,
Leading/managing others, Project management Ability to travel as required
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.