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Pharmacy Financial Analyst

1 month ago


Long Beach CA USA, United States HealthCHEC Full time
About HealthCHEC

HealthCHEC is a leading healthcare organization dedicated to delivering innovative solutions to improve the lives of older adults. With a strong commitment to excellence, we strive to create a work environment that fosters growth, collaboration, and mutual respect.

The Job

We are seeking a highly skilled Pharmacy Financial Analyst to join our team. As a key member of our finance department, you will be responsible for providing financial analysis and oversight of our pharmacy operations and Pharmacy Benefit Management (PBM) company.

Key Responsibilities
  • Conduct PBM contract performance management and serve as a subject matter expert on rebate, DIR, and pharmacy data analytics.
  • Perform oversight of the PBM, including contract performance guarantees and financial guarantees.
  • Conduct finance data management, ad-hoc financial analyses, and support pharmacy financial close with production reporting.
  • Research and provide responses to financial inquiries and perform pharmacy-related rebate, DIR, and discount oversight monitoring.
  • Serve as a subject matter expert for MPF pricing accuracy 5 Star measure and related data analytics ensuring 5 star performance.
  • Analyze large data sets exchanged between HealthCHEC and the PBM using various analytical and reporting tools.
  • Provide assistance to internal and external customers at HealthCHEC, troubleshooting and problem-solving pharmacy-related questions pertaining to claims, DIR, or PBM financial guarantees.
Requirements
  • Bachelor's degree in Business Administration, Statistics, Economics, or a related field.
  • 5+ years of experience working in financial analytics, with 3+ years of healthcare experience required.
  • Direct pharmacy data analytic experience and Medicare Star Rating experience are preferred.
  • Expertise in mining healthcare data, including eligibility, encounters, pharmacy claims, industry drug databases, provider, and financial data.
  • Proficient with conducting financial data analytics and strong interpersonal skills, including excellent written and communication skills.
What's in it for you?
  • Base salary range: $80,300.00 to $128,500.00 annually.
  • Remote work mode.
  • An annual employee bonus program.
  • Robust wellness program.
  • Generous paid-time-off (PTO).
  • Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday.
  • Excellent 401(k) Retirement Saving Plan with employer match and contribution.
  • Robust employee recognition program.
  • Tuition reimbursement.
  • An opportunity to become part of a team that makes a difference to our members and our community every day.

We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. HealthCHEC is proud to be an Equal Employment Opportunity and Affirmative Action workplace.