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Professional, Pharmacy Analyst

Company: MVP Health Care, Inc.
Location: Schenectady
Posted on: August 6, 2022

Job Description:

Professional, Pharmacy Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #1120 Tuesday, May 10, 2022 Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP! Full-Time, ExemptProvides 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 QUALIFICATIONSMinimum Education:Bachelor's Degree or equivalent combination of education and directly related experience will be consideredMinimum Experience:Minimum of 2-5 years of experience in data analysis and report development. 2 years of work experience in healthcare/health insurance environment preferredRequired Skills:

  • Intermediate skills with Access, Excel or other reporting tool
  • 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 confidentialityPreferred Skills:
  • Knowledge of and working experience with Business Objects, Cognos os About MVPMVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (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), and the EEO is the Law Poster and Supplement 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 Please apply and learn more - including how you may become a proud member of our team.

Keywords: MVP Health Care, Inc., Schenectady , Professional, Pharmacy Analyst, Healthcare , Schenectady, New York

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