Specialty Pharmacy Program Analyst
Company Name:
HealthPartners
Specialty Pharmacy Program Analyst
Job ID 33004
Department Health Plan Pharmacy Admin
City Bloomington, MN
Location HP - Bloomington 8170 OfficeBldg
Position Type Full-Time
Anticipated Work Schedule M-F
Hrs/Pay Period 80
Job Description
Join our growing organization on our exciting mission to improve health and well-being! At HealthPartners, you will find a culture of excellence, compassion, integrity and most importantly, partnership. By working together in the spirit of partnership, we will improve health, create exceptional experiences for those we serve and make care and coverage more affordable. Picture yourself at HealthPartners and imagine the future successes we could achieve together!
We currently have an exciting opportunity for aSpecialty Pharmacy Program Analystto work in our Pharmacy Administration department. The Specialty Pharmacy Program Analyst will oversee functions of the specialty pharmacy program working cross-functionally with many areas of the company. Key areas of responsibility include management of the specialty claim review process, analysis of claim utilization patterns, and participation in vendor relationship management.
ACCOUNTABILITIES:
1. Manages the processes for review, audit and reconciliation of medical and pharmacy specialty claims ensuring appropriate pricing and utilization.
2. Evaluates and triages high cost medical and pharmacy specialty claims for identification of improvements in Triple Aim Goals.
3. Works cross-functionally to ensure the pharmacy system is updated with current pricing and other pertinent information relating to specialty pharmacy.
4. Provides support for specialty pharmacy reporting and drug utilization review activities. Works with Health Informatics to maintain and update existing pharmacy reports. Analyzes data and identifies trends and patterns for leadership and other staff as needed.
5. Facilitates the Quality Utilization Improvement program for specialty pharmacy.
6. Participates in the management of specialty pharmacy partner relationships.
7. Performs other duties as assigned.
REQUIRED
Qualifications:
Bachelor's degree in a related field or equivalent work experience
2-4 years previous job experience in pharmacy at a health plan, health system or pharmacy benefit manager (PBM)
Strong analytical and problem solving skills
Strong project management skills
Proficient with Microsoft Word and Excel
Excellent verbal and written communication skills
Demonstrated ability to work cross-functionally and maintain effective relationships with peers and customers
Ability to work independently
PREFERRED
Qualifications:
Knowledge of HealthPartners systems
Experience working with Specialty Pharmacy Programs or Pharmacies
Experience working with databases.
HealthPartners is recognized nationally for providing outstanding care and experience for patients and members. We offer an excellent salary and benefits package.For more information and to apply go search for job ID#33004.
Additional Information
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.Estimated Salary: $20 to $28 per hour based on qualifications.
HealthPartners
Specialty Pharmacy Program Analyst
Job ID 33004
Department Health Plan Pharmacy Admin
City Bloomington, MN
Location HP - Bloomington 8170 OfficeBldg
Position Type Full-Time
Anticipated Work Schedule M-F
Hrs/Pay Period 80
Job Description
Join our growing organization on our exciting mission to improve health and well-being! At HealthPartners, you will find a culture of excellence, compassion, integrity and most importantly, partnership. By working together in the spirit of partnership, we will improve health, create exceptional experiences for those we serve and make care and coverage more affordable. Picture yourself at HealthPartners and imagine the future successes we could achieve together!
We currently have an exciting opportunity for aSpecialty Pharmacy Program Analystto work in our Pharmacy Administration department. The Specialty Pharmacy Program Analyst will oversee functions of the specialty pharmacy program working cross-functionally with many areas of the company. Key areas of responsibility include management of the specialty claim review process, analysis of claim utilization patterns, and participation in vendor relationship management.
ACCOUNTABILITIES:
1. Manages the processes for review, audit and reconciliation of medical and pharmacy specialty claims ensuring appropriate pricing and utilization.
2. Evaluates and triages high cost medical and pharmacy specialty claims for identification of improvements in Triple Aim Goals.
3. Works cross-functionally to ensure the pharmacy system is updated with current pricing and other pertinent information relating to specialty pharmacy.
4. Provides support for specialty pharmacy reporting and drug utilization review activities. Works with Health Informatics to maintain and update existing pharmacy reports. Analyzes data and identifies trends and patterns for leadership and other staff as needed.
5. Facilitates the Quality Utilization Improvement program for specialty pharmacy.
6. Participates in the management of specialty pharmacy partner relationships.
7. Performs other duties as assigned.
REQUIRED
Qualifications:
Bachelor's degree in a related field or equivalent work experience
2-4 years previous job experience in pharmacy at a health plan, health system or pharmacy benefit manager (PBM)
Strong analytical and problem solving skills
Strong project management skills
Proficient with Microsoft Word and Excel
Excellent verbal and written communication skills
Demonstrated ability to work cross-functionally and maintain effective relationships with peers and customers
Ability to work independently
PREFERRED
Qualifications:
Knowledge of HealthPartners systems
Experience working with Specialty Pharmacy Programs or Pharmacies
Experience working with databases.
HealthPartners is recognized nationally for providing outstanding care and experience for patients and members. We offer an excellent salary and benefits package.For more information and to apply go search for job ID#33004.
Additional Information
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.Estimated Salary: $20 to $28 per hour based on qualifications.
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