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Pharmacy, Professional, Pharmacy Analyst_B

Headquarters Office, 625 State Street, Schenectady, New York, United States of America; Rochester Office, 220 Alexander Street, Rochester, New York, United States of America Req #289
Friday, September 13, 2019
Be a part of the transformation at MVP Health Care®. MVP Health Care is a nationally-recognized, regional not-for-profit health insurer. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,700 employees. We employ talented people  with diverse backgrounds and experience—tech people, numbers people, even people people—to make health insurance more convenient, more supportive, and more personal. If you’re ready to join a thriving, mission-driven company where you can create your own opportunities—it’s time to make a healthy career move to MVP.

Status: Full-time, Exempt: Yes

 

Provides data analysis and projected utilization and costs for all lines of business and sub-groupings in aggregate for appropriate action. Performs monthly analysis of actual utilization and cost trends and compares/adjusts projected rates. Performs quarterly data pulls for rebate submissions and reconciliations. Evaluates and identifies inappropriate prescribing patterns from prescription and medical claims data for potential action by appropriate personnel. Coordinates paid claims data transfer between MVP and PBM, performing quality checks. Performs studies on data on previous and current utilization; downloading data from mainframe to PC; utilize software such as Excel, Access, business objects, McSource, and PBM programs. Evaluates and tests data; validates data; creates charts/graphs; summarizes results both verbally and in writing; identifies impact to organization from results. Performs other duties as assigned.

POSITION QUALIFICATIONS

Minimum Education:
Bachelor’s Degree or equivalent combination of education and directly related experience will be considered

Minimum Experience:
Minimum of 2-5 years of experience in data analysis and report development.
2 years of work experience in healthcare/health insurance environment preferred

Required Skills:
• Intermediate skills with Access and Excel
• Familiarity with downloading; word processing, database, and spreadsheet skills
• Exceptional organizational and strong written and verbal communication skills
• Superior attention to detail and strong project management skills
• Team player with ability to adapt to a fast-pace, changing environment.

• Ability to maintain confidentiality

Preferred Skills:
• Knowledge of and working experience with Business Objects, Cognos

MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details

  • Job Family Pharmacy
  • Pay Type Salary
  • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America