Job: Medicare Operations Data Analyst
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Data analyst that has working knowledge within Medicare Part D and the ability to extrract data and manipulate data to create dashboards, ad hoc reports, and scheduled reports. The analyst will have the ability to identify variences in trend and ability to forecast drug spending of Medicare beneficiaries throughout each phase of the plan benefit parameters. Must have the ability to work with clinicians understanding of medical terminology, pharmacy terminology, and programming.
Essential Job Functions:
-Ability to comprehend health and pharmacy related concepts to develop and maintain comprehensive dashboards to monitor drug spend and utilization trend on a retrospective, concurrent, and prospective basis.
-Initiative to lead the development of scenario driven Ad hoc reporting to determine root cause of pharmacy trends and or anomolies in the performance of drug and/or utilization trend.
-Oversight of outbound and internal communications system development and coordination with business partners to ensure the accuracy and timeliness of the distribution of these communications within CMS regulated timeframes.
-Provide data related to pharmacy cost, utilization, drug benefit design, regionally and nationally to support actuarial performance and forecasting for yearly bid development processes.
-Understand Medicare Part D regulatory parameters and incorporate this information iinto the analysis and develop strategic solutions to enhance plan performance measures
Bachelors Degree or equivalent work experience required.
3 years developing pharmacy data Ad Hoc reports and performance dashboards. reports that will create alerts that identify potential risks in utilization, cost, and anomolies to trend.
Access, SQL, programming, Excel, Word
Skills / Requirements
QualificationsAccess, SQL, programming, Excel, Word EducationBachelors Degree or equivalent work experience required. Experience 3 years developing pharmacy data Ad Hoc reports and performance dashboards. reports that will create alerts that identify potential risks in utilization, cost, and anomolies to trend.