Hybrid Data Analyst, Network Pricing

Posted last month

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About the role

  • Accountable for accurate translation of network data and reporting requirements of Capital Rx’s Software as a Service (SaaS) customers for migration and ongoing use of JUDI.
  • Support all network analytics needs of internal team members and customers.
  • Assist with intake and conversion of files necessary for parallel Network Validation data review.
  • Develop Network testing automation and maintain data reporting repositories related to network setup.
  • Support Network and Provider Agreement data reporting, claims analysis, or other network pricing related reporting.
  • Perform QA and claims testing to validate that network data loads yield appropriate adjudication results.
  • Support testing for new JUDI functionality to ensure enhancements function as expected and accurately process claims transactions.
  • Reconcile adjudication output variances with network subject matter experts and maintain data lineage for network configuration data.
  • Provide customer-facing subject matter expertise support on JUDI’s network reporting capabilities.
  • Contribute to playbooks/templates that scale network configurations for future client onboardings.
  • Take charge of critical issues, ensuring swift resolution and communication within service level agreements.
  • Partner with Analytics colleagues to author automated/manual test cases and monitoring processes for drug coverage configurations and data loads.
  • Monitor performance metrics (load times, claims accuracy discrepancies) and recommend optimizations.
  • May require meeting participation, travel, or service support outside standard business hours at certain times of year.

Requirements

  • 1+ years of experience in an Analyst role, Software Engineering role or related work experience
  • 1+ year of PBM or Health Plan operations experience with pharmacy claims data and reimbursement methodologies.
  • Experience performing complex analyses on large sets of data
  • Experience working with structured and unstructured data
  • Proficient in SQL, JSON, Java, R, Excel, and other data visualization tools
  • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables.
  • Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction.
  • Ability to shift between competing priorities and meet organizational goals.
  • Excellent verbal, written, interpersonal and presentation skills.
  • Ability to work effectively with virtual teams.
  • Ability to travel 5-10%.
  • Bachelor's Degree preferred, or equivalent combination of education, training, and experience.
  • Experience working with AWS Redshift
  • Pharmacy Benefit Management analytics preferred

Benefits

  • Remote (For Non-Local) or Hybrid (Local to NYC area)

Job title

Data Analyst, Network Pricing

Job type

Experience level

Junior

Salary

$80,000 - $100,000 per year

Degree requirement

No Education Requirement

Location requirements

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