SCAN Health Plan
Pharmacy Financial Analyst
SCAN Health Plan, Long Beach, California, us, 90899
Description
About SCANSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.The JobThe Pharmacy Financial Analyst provides financial analysis and oversight of SCAN Health Plan pharmacy operations and the SCAN Pharmacy Benefit Management (PBM) company. Conducts PBM contract performance management. Serves as a subject matter expert on rebate, DIR and pharmacy data analytics. Performs oversight of Medicare Plan Finder (MPF) pricing accuracy to support 5 Star performance measures.You WillPerform oversight of the PBM specific to PBM contract, performance guarantees, and financial guarantees.Conduct finance data management, ad-hoc financial analyses, and support pharmacy financial close with production reporting. Will research and provide responses to financial inquiries.Perform pharmacy-related rebate, DIR, and discount oversight monitoring.Serve as a subject matter expert for MPF pricing accuracy 5 Star measure and related data analytics ensuring 5 star performance.Analyze large data sets that are exchanged between SCAN and the PBM using a variety of analytical and reporting tools.Provide assistance to internal and external customers at SCAN, by troubleshooting and problem solving pharmacy-related questions pertaining to claims, DIR, or PBM financial guarantees.Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.Actively support the achievement of SCAN's Vision and Goals.Other duties as assigned.Your QualificationsBachelor's degree in Business Administration, Statistics, Economics or related field.A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
5+ years of experience working in financial analytics3+ years of healthcare experience required.Direct pharmacy data analytic experience, preferred.Medicare Star Rating experience, preferred.Expertise in mining healthcare data, including but not limited to, eligibility, encounters, pharmacy claims, industry drug databases, provider, and financial data.Proficient with conducting financial data analytics.Strong interpersonal skills, including excellent written and communication skills.Excellent organizational, decision-making, and multi-tasking skills.Ability to prioritize workload to meet deadlines.Self-starter that can take the lead on a project and manage its progress for completion.Detail oriented and is able to work with large data sets.Advanced skills with Microsoft Office 2016; e.g., Word, Excel, Access, SQL and PowerPoint.Proficient with Tableau.Excellent organizational capabilities with ability develop partnerships and strong working relationships within the organization and with the PBM.Ability to interact effectively and professionally with all levels of staff.
What's in it for you?Base salary range: $80,300.00 to $128,500.00 annuallyRemote Work ModeAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holidayExcellent 401(k) Retirement Saving Plan with employer match and contributionRobust employee recognition programTuition reimbursementAn opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.#LI-BB1#LI-RemoteEqual Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
About SCANSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.The JobThe Pharmacy Financial Analyst provides financial analysis and oversight of SCAN Health Plan pharmacy operations and the SCAN Pharmacy Benefit Management (PBM) company. Conducts PBM contract performance management. Serves as a subject matter expert on rebate, DIR and pharmacy data analytics. Performs oversight of Medicare Plan Finder (MPF) pricing accuracy to support 5 Star performance measures.You WillPerform oversight of the PBM specific to PBM contract, performance guarantees, and financial guarantees.Conduct finance data management, ad-hoc financial analyses, and support pharmacy financial close with production reporting. Will research and provide responses to financial inquiries.Perform pharmacy-related rebate, DIR, and discount oversight monitoring.Serve as a subject matter expert for MPF pricing accuracy 5 Star measure and related data analytics ensuring 5 star performance.Analyze large data sets that are exchanged between SCAN and the PBM using a variety of analytical and reporting tools.Provide assistance to internal and external customers at SCAN, by troubleshooting and problem solving pharmacy-related questions pertaining to claims, DIR, or PBM financial guarantees.Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.Actively support the achievement of SCAN's Vision and Goals.Other duties as assigned.Your QualificationsBachelor's degree in Business Administration, Statistics, Economics or related field.A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
5+ years of experience working in financial analytics3+ years of healthcare experience required.Direct pharmacy data analytic experience, preferred.Medicare Star Rating experience, preferred.Expertise in mining healthcare data, including but not limited to, eligibility, encounters, pharmacy claims, industry drug databases, provider, and financial data.Proficient with conducting financial data analytics.Strong interpersonal skills, including excellent written and communication skills.Excellent organizational, decision-making, and multi-tasking skills.Ability to prioritize workload to meet deadlines.Self-starter that can take the lead on a project and manage its progress for completion.Detail oriented and is able to work with large data sets.Advanced skills with Microsoft Office 2016; e.g., Word, Excel, Access, SQL and PowerPoint.Proficient with Tableau.Excellent organizational capabilities with ability develop partnerships and strong working relationships within the organization and with the PBM.Ability to interact effectively and professionally with all levels of staff.
What's in it for you?Base salary range: $80,300.00 to $128,500.00 annuallyRemote Work ModeAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holidayExcellent 401(k) Retirement Saving Plan with employer match and contributionRobust employee recognition programTuition reimbursementAn opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.#LI-BB1#LI-RemoteEqual Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)