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Pharmacy Business Analyst I

Pharmacy Business Analyst I

Job Locations 
US-VA-Glen Allen
Job ID 
2018-4561

Job Description

Overview

POSITION OVERVIEW

 

This position is responsible for developing expertise in the data and systems leveraged internally and externally by the Analytics department and Departments throughout the organization for the pharmacy team.  Responsible for working with various Operational Departments, Information Systems and Data Warehouse teams to meet the Pharmacy team’s organizational objectives. Additionally, responsible for gathering requirements, performing analysis, supporting the development and testing of processes, and understanding and documenting the applications, data, and associated technologies for the pharmacy team.

Responsibilities

POSITION DUTIES AND RESPONSIBILITIES

 

  • Develop and distribute reports related to multiple product lines and business units as assigned
  • Document applications for use in training, maintenance, and department procedures
  • Design and maintain data structures and systems
  • Perform moderate to complex queries.  Apply moderate understanding of database tables, relations, data types and values
  • Develop an expertise in pharmacy reporting functionality, including regulatory, UM, and other standard report systems
  • Assist in the design and development of the Data Report Systems
  • Assist in development of benchmark reports
  • Assist in the analysis and presentation of business opportunities
  • Participate in development and analysis teams with other Virginia Premier managers

Qualifications

MINIMUM EDUCATION REQUIREMENTS

  • Bachelors Degree in Business, Health Information Management, Mathematics, Information Systems, Economics, Statistics or related field preferred.

SPECIAL KNOWLEDGE AND/OR SKILLS

  • Working knowledge of a structured query language, such as Microsoft Access, TSQL, PL/SQL, SPSS or SAS
  • Moderate analytical thinking with some demonstrated talent for identifying, scrutinizing, improving, and streamlining complex work processes
  • Performs data analysis using statistical methods
  • Able to implement solutions to complex problems
  • Working knowledge of databases / SQL and OLAP architecture
  • Has and uses the required functional and technical knowledge and skills to do his or her job at a high level of accomplishment
  • Chooses appropriate tools or technology for tasks; experiments with new processes, tools, or technologies to determine applicability
  • Creates complex queries that join multiple tables / sources and significant data massaging
  • Provides opportunities for others to learn skills and concepts
  • Leads own work efforts. Contribute suggestions to team effort; may be called upon to support multi-functional team efforts.
  • Basic understanding of how work effects the enterprise and bottom line; ability to recognize problems and propose ideas for solutions
  • Solid ability to identify new sources of revenue loss in one or more units
  • Minimal coaching required
  • Able to troubleshoot most problems

WORK BACKGROUND/EXPERIENCE

  • Required: Minimum 6 months of experience in data analysis and/or report development
  • Preferred: Minimum 1-3 years of experience in healthcare (preferably Medicaid Managed Care, hospital, IT consulting), business analysis or application development/implementation, experience with Qnxt claims platform.
  • Six Sigma Yellow Belt or higher preferred.

PHYSICAL REQUIREMENTS

  • Physical health sufficient to meet the ergonomic standards and demands of the position.

About Us

Virginia Premier is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs.  Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia. 

 

We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.  

 

All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

 

Our mission is to inspire healthy living within the communities we serve!

 

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