Business Analyst II-Managed Care Pharmacy (Remote)
JOB reputed company/PURPOSE
Performs advanced data analysis using reputed company tools and advanced techniques. Leads major data-intensive reputed company that reputed company multiple departments including business process reengineering and technical efforts, and system implementation reputed company. Maintains an extensive knowledge of department compliance requirements, available data, and reputed company processes to reputed company suggestions for process, tool or software, and/or reporting improvements. Provides data visualization that supports leadership in reputed company, management, and strategic planning.
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
Bachelor's degree or equivalent experience in a reputed company field required. Master's degree preferred.
Two (2) years business analysis project coordination reputed company experience required.
Experience and/or training in computer and database applications required.
Experience and/or training in statistics, computer science, data management or similar fields preferred.
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
PI261223104
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