Match score not available

Sr Analyst, Payer Compliance

Remote:

Full Remote

Salary:

74 - 85K yearly

Experience:

Senior (5-10 years)

Work from:

United States

Offer summary

Qualifications:

Bachelor's Degree in Business or Finance, Advanced Microsoft Excel experience, Experience with SQL or similar programming languages, Tableau experience preferred.

Key responsabilities:

Analyze data to support operational decisions
Collaborate on system enhancements to reduce errors

RITE AID Pharmaceuticals XLarge https://www.riteaid.com/

10001 Employees

See more RITE AID offers

Job description

The primary purpose of this position is to obtain, provide, analyze and evaluate data to support the financial and operational decisions of the Rite Aid Payer Compliance department.

Manage Internal Claim Review process through continual maintenance of database, drug product list, and drug product error parameters.
Analyze pre-dispensed prescription claim level data, build queries, maintain analyses, models, and dashboard to improve pharmacy claims accuracy to reduce potential audit chargebacks.
Analyze and Identify patterns of post-dispensed prescription billing errors through analysis of prescription claim data, previous PBM audit findings, and drug product research. Effectively compile and communicate findings to leadership or stakeholders verbally, visually, and in writing.
Collaborate with internal business units to propose and help put in place system enhancements to reduce prescription billing errors.
Work with field leaders, audit companies, and PBM’s to proactively remediate and resolve audit issues as it pertains to claim billing, audits, and the drug dispensing process.
Support special projects/initiatives, produce routine and ad hoc reports to compile audit statistics to aid in management decision making.
Adaptable, open to change, and able to work in ambiguous situations and respond to new information or unexpected circumstances

EDUCATION REQUIREMENTS

Education Level

Area of Specialization (Marketing, Finance, Pharmacy, Engineering/IT, etc)

Required Or Preferred

Bachelor Degree

Business, Finance, or Information Technology

Required

KNOWLEDGE, SKILLS AND ABILITIES

Knowledge, Skills And Abilities

Required or Preferred

Advanced Microsoft Excel experience including VBA and Macro code

Required

Experience with a computer programming language such as xml, SQL, HTML or PHP

Preferred

Tableau experience

Preferred

WORK EXPERIENCE

Experience

Areas of Experience (Pharmacy, Compliance, E-commerce, Retail, etc)

Required Or Preferred

5 years of experience in Financial or Operational Analysis

Required

5 years of experience in PBM, Healthcare or Retail Pharmacy

Required

The typical starting pay range for this position is between $74,200 - $85,000 annually, although wages can very based on experience and geography.