Business Analyst - Pharmacy Benefits
By Anveta, Inc At Raleigh, NC, United States
Four or more years of Pharmacy Benefits Management business and system experience
Assist with implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module.
Should be able to evaluate business processes, anticipate requirements, uncover areas for improvement, coordinate and experienced with implementing software solutions.
Should have extensive experience with system development life cycle (SDLC), business requirement gathering and analysis
Should have experience documenting requirements and other project deliverables.
Managed Care and Medicaid experience
Security Engineer, 340B Jobs
By Berkeley Research Group, LLC At , Washington, 20036 $125,000 - $170,000 a year
Hands on experience in security systems, including firewalls, intrusion detection systems, anti-virus software, authentication systems, log management, content.
Identify and define system security requirements.
Develop technical solutions and new security tools to help mitigate security vulnerabilities and
Proven work experience as a System Security Engineer or Information Security Engineer.
Detailed technical knowledge of database and operating system security.
Problem solving skills and ability to work under pressure.
Medicare Pharmacy Analyst Jobs
By GeBBS Consulting At United States
Pharmacy Benefit Manager (PBM) experience
Minimum three (3) years' health related experience with health plan, pharmacy, managed care organization
Active Certified Pharmacy Technician (PTCB CPhT Certification) required
Previous Medicare Part D and/or Pharmacy Claims experience preferred.
Proficient working knowledge of MS Office Suite.
Data Analyst (Pharmacy) Jobs
By Evio LLC At United States
The skills and experience you bring to this role include:
2+ years of experience as a data analyst at a PBM or health plan.
Superior problem-solving capabilities and learning agility with an attention to detail.
Experience working with medical and pharmacy claims data.
Experience in working with large, complex databases and process automation.
Create standard reporting outputs, models, and customized summaries to assist internal Evio teams.
Pharmacy Data Analyst Jobs
By Evio At Denver, CO, United States
2+ years of experience as a data analyst at a PBM or health plan.
Superior problem-solving capabilities and learning agility with an attention to detail.
Experience working with medical and pharmacy claims data.
Experience in working with large, complex databases and process automation.
Create standard reporting outputs, models, and customized summaries to assist internal Evio teams.
Monitor and update supplemental data sources that enrich data collected from founding Plans.
Medicare Pharmacy Analyst Jobs
By Intuitive Technology Group At United States
Knowledge of Medicare Advantage and Prescription Drug Program with a working understanding of Pharmacy Benefit Managers (PBMs).
Experience in Project Management and the ability to prepare project plans and participate or lead special projects.
Oversee Pharmacy Benefits vendors and review claims for accuracy.
Submit changes and benefit builds to the PBM and ensure quality assurance.
Experience as a project lead on one large-scale project with a successful completion (e.g., implementation, issue tracking, and resolution).
Prior quality assurance/testing experience related to claim adjudication & plan set-up preferred. Previous claims coding experience is also desirable.
Director, 340B Solutions Jobs
By McKesson At Girlstown USA, TX, United States
Minimum Job Qualifications (Knowledge, Skills, & Abilities)
May have a variety of backgrounds, such as account management, business development, finance, marketing, sales, and consulting.
Minimum 2 years’ experience working with the 340B program, project management experience.
Decision maker for contract engagement, inventory management, software vendor selection and audit preparedness based on individual customer needs.
Provide strategic management and ensure contractual compliance for 340B customer base.
7+ years of strategic planning, business development, strategic marketing, or relevant industry experience (e.g., finance, healthcare economics, corporate strategy).
Pharmacy Rebate Analyst/Rebate Analyst
By LanceSoft, Inc. At United States
***FULLY REMOTE* **WORK FROM HOME****
***MUST HAVE 3+ years of excel experience
- 2+ years of professional work and/or internship experience, preferably in a dynamic, fast-paced environment.
- 3 or more years of Microsoft Office experience, with an emphasis on Excel.
6 months experience with pharmaceutical products, pharmaceutical industry, and contracts.
Degree in Finance, Accounting, Business, Math, or Economics preferred.
340B Specialist - 340B Clinics
By St. Bernards Healthcare At Jonesboro, AR, United States

Bachelor’s Degree, Business or Healthcare Administration preferred. Required to complete 340B University within 90 days of start of job.

This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information.

Pharmacy Data Analyst Jobs
By Lockton At Dallas, TX, United States
Execute ongoing pharmacy data collection and management with Pharmacy Benefit Managers (PBMs) and carriers for client reporting
Bachelor's degree required. Major in Actuarial Science, Mathematics, Statistics, Finance, Economics, or Health Care Management
Experience working with a pharmacy benefit manager or pharmacy-focused occupation a plus
Demonstrate advanced knowledge using MS Excel and MS Access, SQL experience desired
Conduct comparative pricing analyses for pharmacy benefit Requests for Proposal
Collaboratively analyze client data to identify areas of concern and recommendations for strategies to manage pharmacy spend
(Us) Solutions Analyst, Pharmacy
By PointClickCare At United States
Effectively use and search the knowledge base, occasionally contributing new or updated content
Excellent communication skills, written and oral
Demonstrated ability to multi-task, prioritize, and manage customer expectations
Experience supporting and trouble-shooting web-based software applications.
Preference for those with experience using diagnostic tools to help resolve customer issues.
Prior experience using PointClickCare is an asset (modules such as Orders, eMAR, HL7 messages.)
Pharmacy Analyst, Remote Jobs
By Aledade, Inc. At Bethesda, MD, United States
1+ year(s) of experience with pharmacy data management.
Bachelor’s degree in related field or be equivalent work experience required.
Effective collaboration skills across teams.
Pull, combine and display pharmacy data from multiple data sources including, but not limited to payer portals and payer Rx claims.
Organize and manipulate data to be presented to end users in an actionable manner.
Use pharmacy data to identify and deliver actionable insights to key stakeholders including trends in prescribing and new opportunities for improvement.
Marketing Specialist - Pharmacy & Hospital Health Systems (340B) - Remote
By The Cigna Group At District of Columbia, United States
Marketing support for strategic business development and client opportunities, experiences and engagements
Lead cross-functional teams to create meaningful experiences and new ways to engage relevant audiences, as needed
4+ years of relevant professional experience in marketing
Strong analytical and strategic presentation skills
Excellent oral and written communication skills
Lead the messaging and strategic development of a variety of sales enablement tools and external communications
Pharmacy Benefits Qa Analyst
By SmithRx At , Lehi, Ut
Basic level skill and experience with MySQL encouraged
Enhance test plans to ensure application functionality meets original requirements
Bachelors degree or equivalent work experience preferred
3+ years of experience as a Pharmacy QA Analyst preferred
Robust analytical skills; advanced skills in Microsoft Excel
Strong communication skills via face-to-face meetings, conference calls and written correspondence
Pharmacy Analyst Jobs
By VIPcare At Tampa, FL, United States
High School Diploma / GED (or higher) or equivalent work experience
6+ months of healthcare industry experience (examples: pharmacy, health insurance, medical office, etc)
Are you looking for a career opportunity that will help you grow personally and professionally?
Do you have a passion for helping others achieve Better Health?
Are you ready to join a growing team that shares your mission?
Work with the health services team in processing functions for various pharmacy programs while successfully maintaining KPIs
Pharmacy Network Analyst Jobs
By SmithRx At , Lehi, 84043, Ut
Expert influencing skills to drive change and adoption of new analytic capabilities
Execute and implement dynamic pricing strategies in response to market fluctuations to provide competitive, profitable, and best of class pricing offerings
Ability to read/write queries and establish workflows in order to offer and implement continued automation and improvement
Extensive PBM industry knowledge and deep understanding of the financial levers of a PBM
5+ years of experience in PBM, claims processing, healthcare and/or related field
3+ years of experience using Tableau, SQL, EDW or SAS technologies
Pharmacy Benefit Analyst, Medicare
By Premera Blue Cross At , Remote $65,500 - $105,800 a year
Experience in proactively applying analytical, problem solving and / or technical abilities to daily responsibilities.
In-depth knowledge of pharmacy benefit coding.
Must have Medicare Part D Benefit Experience
Strong written and verbal communication skills, and ability to experience, establish and maintain effective relationships.
Partner with customer service and contract services for language needed to develop and maintain the benefit quoting tool (BQT) database.
Bachelor’s degree or four years equivalent experience. (Required)
Medical Pharmacy Analyst - Remote
By Prime Therapeutics At Minneapolis, MN, United States
Strong expertise in MS Excel and relational database such as MS Access and other database management (MS SQL) and reporting tools.
Works with designated department to assess, define, and develop report deliverables to meet internal and customer requirements.
May consider 2+ years of additional experience in lieu of Associate's degree.
Designs appropriate data repository and reporting tools that will be used to organize, analyze, and report data.
Queries data bases to extract information needed to develop reports.
Compiles data and other information from multiple data sources.
Pharmacy Benefit Analyst, Medicare
By Premera Blue Cross At United States
Experience in proactively applying analytical, problem solving and / or technical abilities to daily responsibilities.
In-depth knowledge of pharmacy benefit coding.
Must have Medicare Part D Benefit Experience
Strong written and verbal communication skills, and ability to experience, establish and maintain effective relationships.
Partner with customer service and contract services for language needed to develop and maintain the benefit quoting tool (BQT) database.
Bachelor’s degree or four years equivalent experience. (Required)

Are you looking for an exciting opportunity to use your expertise in 340B program management? We are seeking a Pharmacy 340B Analyst to join our team and help ensure compliance with federal and state regulations. You will be responsible for auditing and analyzing 340B program data, developing and implementing policies and procedures, and providing guidance and support to pharmacy staff. If you are passionate about making a difference in the lives of patients, this is the job for you!

Overview:

The Pharmacy 340B Analyst is responsible for ensuring that the organization’s 340B program is compliant with all applicable laws and regulations. This includes monitoring, analyzing, and reporting on the organization’s 340B program, as well as providing guidance and support to the organization’s 340B program stakeholders.

Detailed Job Description:

The Pharmacy 340B Analyst is responsible for the following:

• Monitoring, analyzing, and reporting on the organization’s 340B program.
• Developing and implementing policies and procedures to ensure 340B program compliance.
• Providing guidance and support to 340B program stakeholders.
• Assisting with the development and implementation of 340B program audits.
• Assisting with the development and implementation of 340B program training.
• Assisting with the development and implementation of 340B program reporting.
• Assisting with the development and implementation of 340B program corrective action plans.
• Assisting with the development and implementation of 340B program monitoring and evaluation.
• Assisting with the development and implementation of 340B program data analysis.
• Assisting with the development and implementation of 340B program risk management.
• Assisting with the development and implementation of 340B program quality assurance.
• Assisting with the development and implementation of 340B program compliance reviews.
• Assisting with the development and implementation of 340B program compliance investigations.
• Assisting with the development and implementation of 340B program corrective action plans.
• Assisting with the development and implementation of 340B program compliance monitoring and reporting.
• Assisting with the development and implementation of 340B program compliance audits.

What is Pharmacy 340B Analyst Job Skills Required?

• Knowledge of 340B program regulations and requirements.
• Knowledge of 340B program compliance and audit processes.
• Knowledge of 340B program data analysis and reporting.
• Knowledge of 340B program risk management and quality assurance.
• Knowledge of 340B program corrective action plans.
• Knowledge of 340B program monitoring and evaluation.
• Knowledge of 340B program training and education.
• Knowledge of 340B program compliance reviews and investigations.
• Knowledge of 340B program compliance monitoring and reporting.
• Knowledge of 340B program compliance audits.
• Knowledge of 340B program corrective action plans.
• Knowledge of 340B program risk management and quality assurance.
• Knowledge of 340B program data analysis and