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Responsibilities
Ensure the data integrity of various pharmacy data sources and interpret results into recommendations
Analyze and interpret pharmacy data to identify potential issues and trends and areas of interest that require greater focus
Independently manage multiple projects for subsequent creation of standard queries and reporting
Demonstrate and maintain a general understanding of the company’s related legacy systems as well as other data collection and processing systems
Facilitate work sessions with Vendors, IS Solutions Department as needed to research issues as well as perform root cause analysis to resolve issues
Monitor, manage, and audit monthly data submission ensuring timely and accurate submissions
Utilize analytical tools (i.e., SAS Enterprise Guide, SQL Query Tool), MS Access and MS Excel to develop and maintain reports (standard/ad hoc) for requests received from managment and/or external entities
Review and analyze spending trends, plan costs, validation process verification, and explore potential process improvement opportunities
Create and support an environment which fosters teamwork, cooperation, respect and diversity
Always establish and maintain positive communication and professional demeanor with internal and external business partners at all times
Assist in new business implementations
Perform other related duties as assigned
Attend required training on an annual basis
Adhere to AMFC policies and procedures
Education/Experience
High School Diploma or equivalent required
Bachelor’s degree preferred
Active/current National Pharmacy Technician Certification (ExCPT, NCCT, PTCB) required
Minimum one (1) year of current/recent Pharmacy Benefit Manager (PBM), pharmacy operations, and/or claims processing experience required
High level expertise in Microsoft Office Suite, especially Access and Excel, required
SAS Enterprise Guide preferred
Working knowledge of Tableau preferred
Ability to multi-task, prioritize work and meet strict deadlines
Ability to adjust based on business/department needs
Ability to comprehend and follow established office routines, policies and procedures
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