Note: The job is a remote job and is open to candidates in USA. Navitus Health Solutions is committed to making medications more affordable through innovative pharmacy benefit management. The Sr. Data Analyst, Pharmacy Network will support the analytical operations of the Provider Services department by performing analyses and report creation to facilitate critical business decision-making processes.
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
- 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
- Emphasis in business, information systems, economics, or statistics preferred
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/.