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Senior Health Care Analyst - Pharmacy in Detroit, MI at AF Group

Date Posted: 5/7/2018

Job Snapshot

Job Description

COBX - Senior Health Services







SUMMARY:



The Senior Health Care Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments. This position operates within broad objectives to ensure solutions are designed and implemented for utilization of pharmacy resources. This roledesigns and develops applications for Senior health services pharmacy department to support clinical and operational requirements.



RESPONSIBILITIES/TASKS:




  • Provides audit and analytics support to medicare pharmacy services business team.
  • Builds and supports business reports to be included in executive dashboard.
  • Gathers requirements for part D dashboard andimplement real time executive dashboard for pharmacy leadership .
  • Leads in the research, analysis, identification, and evaluation of solutions for assigned problems from business teams Possesses and maintains an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles and methodologies.
  • Manages and monitors multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
  • Develops lines of communication to discuss and review results of analysis to management via reports and presentations and assists management in implementing programs that provide solutions.
  • Investigates, reviews, recommends, communicates, and implements solutions which identify problems/root cause of issues.
  • Identifies and resolves challenges in order to fulfill key corporate objectives and responds to the demands of change management and initiates actions needed to plan, organize, and control team activities.
  • Independently develops and plans reports, papers, and/or other materials in a clear and concise manner.
  • Provides expertise and guidance to unit and corporate staff as required.
  • Acts as a liaison between corporate business areas and participates in group or committee discussions.
  • Interacts with pharmacy functional business owners to define measurable metrics and assists them to use the dashboard on a daily basis.
  • Supports ongoing maintenance of executive dashboard and related products, applications, and platforms.
  • Works with analytics business analysts/developers and operations personnel to automate pharmacy business processes..

    This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.





    EMPLOYMENT QUALIFICATIONS:





    EDUCATION:



    Bachelor's degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field. Master's degree in a related field is preferred. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.



    EXPERIENCE:



    Seven years experience in a related field, typically in two subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).



    SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:




  • Ability to design and develop business applications using ASP. NET software and use SQL DB, Access, and SAS data sources.
  • Sound knowledge of SQL database concepts and experience in designing the databases and configure databases for pharmacy applications
  • Knowledge of PBM systems and tools.
  • Excellent analytical, planning, problem solving, verbal, and written skills to communicate complex ideas.
  • Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
  • Strong working knowledge of data languages such as SAS or SQL.
  • Ability to work independently, within a team environment, and communicate effectively with

    employees at all levels.



    WORKING CONDITIONS:



    Work is performed in an office setting with no unusual hazards.

    The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

    We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

    Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled