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[Remote] Sr. Data Analyst, Pharmacy Network

Remote · USA Full-time New today

Note: The job is a remote job and is open to candidates in USA. Navitus Health Solutions is an innovative pharmacy benefit manager committed to making medications more affordable. They are seeking a Sr. Data Analyst for the Pharmacy Network to support analytical operations, conduct business process analyses, and create reports that facilitate critical decision-making for various teams.

Responsibilities

  • Responsible for completing reports and projects, such as detailed geo access, member disruption, state PBM licensing applications, state audit/adequacy reports, and pharmacy listing
  • Work closely with the legal team to develop a significant understanding of state PBM and Pharmacy Access laws in order to build reports and capture applicable data to meet regulatory requirements
  • Subject matter expert and resource for other members of the reporting team for these tools
  • Point of contact for team members, providing both support and data knowledge
  • Provide support to key client needs in order to meet their specific business needs
  • Recommend enhancements to existing systems in accordance with business needs by creating ad hoc and standard reports as well as new information delivery technologies
  • Work with Navitus teams to develop applications to streamline reporting processes and meet developing client and reporting agency needs
  • Understand intermediate data relationship concepts and transform data into information that can be proactively used to improve business decisions
  • Communicate with vendors to develop more in depth understanding of applicable software capabilities and develop systems to meet future needs
  • Work together with Navitus teams to create solutions via data models to better understand trends and facilitate decision making on pharmacy network design
  • Lead evaluation of applicable pharmacy network adequacy as required by clients or regulation
  • Create pharmacy directories for our clients and their members that clearly identify the pharmacy services available to them and where they are located. This includes developing a level of understanding of Blue Relay to become a subject matter expert on the software
  • Deliver reports and directories on a weekly, monthly, quarterly, or annual basis as required by government sponsored health plans and other clients
  • Other duties as assigned

Skills

  • Bachelor's degree required. Emphasis in business, information systems, economics, or statistics preferred
  • Minimum of 3 years of relevant experience with business, economic/financial modeling, or analytical programs
  • Experience with SAS, SQL, and/or QlikView is required
  • PBM or Managed Care experience is required
  • PC skills: Microsoft Excel, Access, QlikView, SQL, and other applications as required

Benefits

  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!

Company Overview

  • Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company. It was founded in 2003, and is headquartered in Appleton, Wisconsin, USA, with a workforce of 1001-5000 employees. Its website is https://www.navitus.com/.
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