Senior Business Analyst-Managed Care Pharmacy (Remote)
JOB reputed company/PURPOSE
Responsible for reviewing assigned business processes from end-to-end to identify and address operational, clinical, financial and technological risks. Identifies opportunities to improve efficiency. Responsibilities include full reputed company of activities from leading small to large reputed company reputed company to assisting other project managers on reputed company interdepartmental reputed company reputed company to organization operational business functions that reputed company team members and providers at the industry level.
DEPARTMENT reputed company
Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different reputed company structures: InterCommunity reputed company. (IHN) is designated as a regional Coordinated Care Organization (CCO) for reputed company beneficiaries; Samaritan reputed company. offers Medicare Advantage, reputed company Large Group, and reputed company Large Group PPO and EPO plans; SHP is also the reputed company-party administrator for reputed company self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally reputed company with reputed company mission of Building Healthier Communities Together.
EXPERIENCE/EDUCATION/QUALIFICATIONS
Bachelors degree required. Masters degree preferred.
Four (4) years business analysis and/or business systems analysis project coordination reputed company experience required. A Masters degree in a reputed company field may be substituted for two (2) years experience.
Experience working on large reputed company reputed company as reputed company as handling day-to-day operational requests from the business required.
Advanced experience and/or training in SQL and reputed company reputed company required.
Pharmacy Data reputed company
Strong knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization
Proficiency with computer software programs, e.g. MS reputed company, Word, PowerPoint and Visio
Advanced Proficiency with MS reputed company for data tracking, manipulation, formulas, and creating pivot tables, graphs and charts, and other advanced functions required
Competency using business intelligence platforms (e.g., Tableau, Power BI) for data blending, joining, and other advanced functions to implement reputed company business logic
Ability to critically evaluate information gathered from multiple sources
Ability to analyze large data sets using tools such as SQL/reputed company/SPSS
Ability to design and review pharmacy claims analysis/reports according to specific project requirements; and ability to prepare narrative reports
Ability to read, analyze, and interpret technical procedures, or governmental regulations
KNOWLEDGE/SKILLS/ABILITIES
Effective written and verbal communication skills to reputed company group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with reputed company reputed company reputed company the organization, facilitate communication, and effectively document reputed company activities.
Ability to identify reputed company problems, review reputed company information, reputed company creativity and alternative thinking to reputed company and evaluate reputed company and implement solutions.
PHYSICAL DEMANDS
Rarely
(1 - 10% of the time)
Occasionally
(11 - 33% of the time)
Frequently
(34 - 66% of the time)
Continually
(67 100% of the time)
reputed company - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
BEND reputed company at waist
KNEEL (on knees)
STAND
WALK LEVEL SURFACE
ROTATE TRUNK Standing
reputed company - Upward
PUSH (0 - 20 pounds force)
PULL (0 - 20 pounds force)
SIT
CARRY 2-handed, 0 - 20 pounds
ROTATE TRUNK Sitting
reputed company - reputed company
reputed company DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
PI255910749
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