Data and Reporting Analyst

Exemption Status:

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary:

The Data and Reporting Analyst is an expert in Medicaid pharmacy data analytics. This position is responsible for analyzing Medicaid performance data and prepare or establish routine reports requested by the clients. Although technical knowledge of data extraction tools is required, this position will focus on the analytical evaluation of pharmacy data and work on a team to support the operations of Medicaid program.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Provides qualitative and financial evaluations of Requests for Proposals (RFP) and PBM Contracts, including pricing, reimbursement, network rates, and fee schedules
• Performs repricing analyses, trend evaluations, and incorporates market intelligence to forecast PBM and plan performance
• Performs post-analyses to evaluate and improve prediction and forecasting models
• Develops models to conduct detailed analyses of pharmacy data, including pharmacy claims, eligibility, quality measures, and incorporates basic medical/lab data
• Supports and contributes to completion of proposals, finalist presentations, exhibits, and marketing materials
• Assists team with creating complex, insightful analyses to promote proactiveness and innovation through data
• Collaborates with the team to design complex analyses and dashboards for internal and external users
• Investigates non-pharmacy data, such as medical, lab, and Social Determinants of Health (SDoH), to identify opportunities
• Assists with data needs for fee-for-service (FFS) Medicaid program improvement and new program development
• Performs impact analyses for regulatory, legislative, market, or contractual changes (forecast and/or post-change analyses)
• Works closely with Clinical Program Managers and clients to create and publish white papers, research posters, and external presentations
• Utilizes multiple databases while adhering to strict reporting protocols and business standards
• Recommends reporting and dashboard enhancements; revisions to reporting parameters; and other innovative, value-added modifications to meet the needs of internal and external customers
• Promotes continuous improvement by ensuring adherence to quality principles.  Seeks out and actively participates in business initiatives that contribute to service excellence
• Actively participates in continued professional development to stay up to date on the latest technical and information management enhancements and reporting best practices

Supervisory Responsibilities                                             

This job has no supervisory responsibilities.

Client Responsibilities

This position require client interactions, such as presenting data and leading discussions with clients.. Strong customer service skills and interpersonal communication skills required.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience                                            

Bachelor's from a four-year college or university and 5 years minimum experience analyzing pharmacy data at a health plan or PBM. Experience in Medicaid or other government programs strongly preferred. Related experience in PBM underwriting, RFP development, pharmacy reimbursement, pharmacy repricing analyses, and the identification and evaluation of health plan savings and/or quality initiatives strongly preferred. Must have a working knowledge of key business applications and have intermediate level skills in SQL or SAS coding.

Computer Skills

To perform this job successfully, an individual should have knowledge of Microsoft Office Suite and Microsoft Access.

Certificates, Licenses, Registrations

None required.

Other Skills and Abilities                                                    

• Project Management training and/or skills.  
• Ability to effectively balance a high volume of work. 
• Ability to prioritize urgent issues effectively.
• Outstanding numeric, verbal, written, presentation, logic, and analytical skills. 
• Detailed oriented and organized. 
• Ability to work in a team environment. 
• Excellent problem resolution, team building, judgment and decision-making skills required.  Knowledge of healthcare operating systems preferred. 

Reasoning Ability                                                    

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Mathematical Skills                                                 

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, rations, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry.

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.  Ability to write reports, business correspondence, and procedure manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Competencies                                              

To perform the job successfully, an individual should demonstrate the following competencies:

Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.

Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.

Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is frequently required to use hands to finger, handle, or feel. The employee is occasionally required to stand; walk and reach with hands and arms. The employee must occasionally lift and/or move up to 10 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Location

This position is 100% remote.

Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required.  Work hours may be changed from time to time to meet the needs of the business.  Typical core business hours are Monday through Friday from 8:00am to 5:00pm.

Travel

This position may require minimal domestic travel.

The Perks:

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,
California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer:

The above
statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.