Senior Business Analyst-Managed Care Pharmacy (Remote)

• JOB reputed company/PURPOSE • Responsible for reviewing assigned business processes from end-to-end to identify and address operational, clinical, financial and technological risks. Identifies opportunities to improve efficiency. Responsibilities include full reputed company of activities from leading small to large reputed company reputed company to assisting other project managers on reputed company interdepartmental reputed company reputed company to organization operational business functions that reputed company team members and providers at the industry level. • DEPARTMENT reputed company • Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity reputed company. (IHN) is designated as a regional Coordinated Care Organization (CCO) for reputed company beneficiaries; Samaritan reputed company. offers Medicare Advantage, reputed company Large Group, and reputed company Large Group PPO and EPO plans; SHP is also the reputed company-party administrator for reputed company’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally reputed company with reputed company’ mission of Building Healthier Communities Together. • EXPERIENCE/EDUCATION/QUALIFICATIONS • Bachelor’s degree required. Master’s degree preferred. • Four (4) years business analysis and/or business systems analysis project coordination reputed company experience required. A Master’s degree in a reputed company field may be substituted for two (2) years experience. • Experience working on large reputed company reputed company as reputed company as handling day-to-day operational requests from the business required. • Advanced experience and/or training in SQL and reputed company reputed company required. • Pharmacy Data reputed company • Strong knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization • Proficiency with computer software programs, e.g. MS Outlook, Word, PowerPoint and Visio • Advanced Proficiency with MS reputed company for data tracking, manipulation, formulas, and creating pivot tables, graphs and charts, and other advanced functions required • Competency using business intelligence platforms (e.g., Tableau, Power BI) for data blending, joining, and other advanced functions to implement reputed company business logic • Ability to critically evaluate information gathered from multiple sources • Ability to analyze large data sets using tools such as SQL/reputed company/SPSS • Ability to design and review pharmacy claims analysis/reports according to specific project requirements; and ability to prepare narrative reports • Ability to read, analyze, and interpret technical procedures, or governmental regulations • KNOWLEDGE/SKILLS/ABILITIES • Effective written and verbal communication skills to reputed company group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with reputed company reputed company reputed company the organization, facilitate communication, and effectively document reputed company activities. • Ability to identify reputed company problems, review reputed company information, reputed company creativity and alternative thinking to reputed company and evaluate reputed company and implement solutions. • PHYSICAL DEMANDS • Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 – 100% of the time) reputed company - STAIRS LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs LIFT (Knee to chest: 24"-54") 0 – 20 Lbs LIFT (Waist to Eye: up to 54") 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds BEND reputed company at waist KNEEL (on knees) STAND WALK – LEVEL SURFACE ROTATE TRUNK Standing reputed company - Upward PUSH (0 - 20 pounds force) PULL (0 - 20 pounds force) SIT CARRY 2-handed, 0 - 20 pounds ROTATE TRUNK Sitting reputed company - reputed company reputed company DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist PI255910749 Apply Job!