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Job Posting Title
Lead Medical Economics Analyst - Remote
Job Description Summary
Supports analytical needs for assigned business unit, working with national and local leadership as needed to drive cost efficiency and quality within the market/business. Provides subject matter expertise for current and historical cost experience, cost drivers and trends to Med Econ leadership. Uses technical skills to efficiently respond to analytical requests, as well as pro-actively build tools and reports that will improve market/business intelligence. Accountable for ensuring analytics are timely and accurate.
Job Description
Provides analytical support for local health plan or business unit, in support of strategic decision making and cost efficiency.
Develops/maintains subject matter expertise in data extraction and quality assurance as well as current and historical cost experience and trend drivers.
Supports Actuarial and Finance leaders as needed to ensure budget and forecast accuracy.
Supports key business leaders in identifying cost efficiency and quality improvement opportunities through reporting and analytics.
Utilizes SQL, Excel, and other BI tools to define, extract, validate, shape, and interpret data to meet business needs. Accountable for accuracy of work product.
Effectively manages analytical priorities across regular reporting, ad hoc requests, and development of ongoing strategic activities.
Supports cost of care initiative tracking, savings and ROI estimates, and KPI dashboards for designated health plan or business unit.
Develops effective cross-functional relationships, both within Medical Economics and across Finance, Actuarial, and other key business areas.
Mentors peers and co-workers as appropriate.
Responsibilities
1-2 years' experience in Pharmacy Benefits Management (PBM), pricing/analytics.
Comprehensive understanding of PBM products, revenue levers and cost drivers to creatively recommend pricing that is market competitive while meeting financial goals of Magellan.
5+ years of underwriting experience required.
Knowledge of underwriting principles in a managed care environment.
Excellent written and verbal communication skills.
Ability to self-start and work independently.
Good analytical, reasoning and problem-solving skills.
Strong organizational skills, must be able to manage time efficiently to work on multiple projects, prioritize, must be able to adhere to strict deadlines.
Excellent analytical, reasoning and problem-solving skills.
Ability to recognize issues, address them, and work on solutions.
Team player who works collaboratively with others within the same group as well as with others in cross-functional groups.
Willingness to learn new product lines and adapt to changing environment.
Strong working knowledge Microsoft Office Product suite, specifically Excel, and experience with managing large
data sets with tools such as MS Access.
Background in financial analysis, underwriting/pricing, or similar function in managed care.
Work Experience
Work Experience - Required:
Underwriting
Work Experience - Preferred:
PBM (Pharmacy Benefit Management), Supervisory
Education
Education - Required:
Bachelors
Education - Preferred:
Masters
Certifications
Certifications - Required:
Certifications - Preferred:
CPA - Certified Public Accountant - Enterprise - Enterprise
Potential pay for this position ranges from $79,340.00 - $126,940.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ? If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.
