Mass General Brigham
Specialty Pharmacy Business Analyst
Mass General Brigham, Somerville, Massachusetts, us, 02145
Description:As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.We’re focused on a people-first culture for our system’s patients and our professional family. That’s why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees’ personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development—and we recognize success at every step.Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
Reporting to the Operations Director of Specialty Pharmacy, the Specialty Pharmacy Business Analyst is part of the Mass General Brigham Specialty Pharmacy (MGB SP) administrative team. MGB SP is an LLC, operating under the MGB health system supporting the specialty pharmacy needs of all MGB patients.Our mission is to decrease the administrative burden in our clinics, improve quality and safety through clinical diligence, decrease the patient financial toxicity often associate with these medications, and provide an additional revenue stream for the Mass General Brigham enterprise to support its broader mission.Responsibilities of the Analyst will include the gathering and management of data required for business operation and planning, financial and operational reporting, accreditation support, periodic reports to pharma companies and insurers, trending operational metrics, the preparation and tracking of budgets, and day to day support of our operation.Hybrid Schedule: Mainly onsite in Burlington, but there will be opportunities to work remotelyResponsibilities:The Specialty Pharmacy Business Analyst will support:
Specialty drug procurement & reimbursement analysis340B contract pharmacy reportingOpportunities to maximize reimbursement in compliance with regulatory standardsAssists with the preparation of the annual operating budgetFrequent internal ad-hoc data and analytic requestsLeverage exceptional analytical and communication skills, and will apply your broad knowledge of pharmacy practice to help our team achieve performance objectivesResearch – Utilize targeted searches of the internet and other available sources to conduct primary and secondary research on topics of interest in the field of healthcare reimbursement and compliance if neededAnalysis - Evaluate the data collected through task analysis of business processes utilizing source data from our systems which include Epic, Enterprise Rx, Dromos PTM, Cover-My Meds. Etc.Validation – Collect and analyze requirements and coordinate the assembly of the final deliverable with the primary stakeholder.Accuracy – Utilize up-to-date sources to confirm and validate the task requirements as assigned and the accuracy of the deliverable.Communication – Communicate effectively through oral and written mediums with internal teamsTeam participation – Collaborate as part of a functional work team to execute against project requirements.Adaptability –Be flexible in work schedule as project duties require and manage any change requests related to the working project plans daily to meet the agreed upon deadlines.Information management – Maintain the security of sensitive company and client information at all times.Other duties as required.Qualifications:Qualifications:
Four (4) or more years of analytic experience in healthcare or pharmacy preferredB.S. in Pharmacy preferredWorking knowledge of pharmacy and billing and claims processingKnowledge of 340B Drug Discount Program preferredMaster’s Degree in Business, Finance, Informatics, and/or related field preferredMinimum five (5) years of data/reporting experience in the pharmacy industry requiredHigh level expertise in Microsoft Office Suites required
Skills/Abilities/Other Details:
· Strong analytical skills· Attention to detail and organization,· Strong oral and written communication skills· Excellent interpersonal skills, including a strong customer service orientation and the ability to work effectively within a team.· Ability to interact professionally with organization contacts· Strong acumen with establishing and monitoring financial and operational performance measures· Knowledge of pharmacy billing and reimbursement; experience with 340B and Medicare Part B a plus.· Ability to work quickly and efficiently· Self-motivated and resourceful
· Ability to work with confidential information
EEO StatementMass General Brigham is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.Primary Location MA-Somerville-MGB Assembly RowWork Locations MGB Assembly Row 399 Revolution Drive Somerville 02145Job Business and Systems AnalystOrganization Mass General BrighamSchedule Full-timeStandard Hours 40Shift Day JobEmployee RegularJob Posting Oct 16, 2024
Reporting to the Operations Director of Specialty Pharmacy, the Specialty Pharmacy Business Analyst is part of the Mass General Brigham Specialty Pharmacy (MGB SP) administrative team. MGB SP is an LLC, operating under the MGB health system supporting the specialty pharmacy needs of all MGB patients.Our mission is to decrease the administrative burden in our clinics, improve quality and safety through clinical diligence, decrease the patient financial toxicity often associate with these medications, and provide an additional revenue stream for the Mass General Brigham enterprise to support its broader mission.Responsibilities of the Analyst will include the gathering and management of data required for business operation and planning, financial and operational reporting, accreditation support, periodic reports to pharma companies and insurers, trending operational metrics, the preparation and tracking of budgets, and day to day support of our operation.Hybrid Schedule: Mainly onsite in Burlington, but there will be opportunities to work remotelyResponsibilities:The Specialty Pharmacy Business Analyst will support:
Specialty drug procurement & reimbursement analysis340B contract pharmacy reportingOpportunities to maximize reimbursement in compliance with regulatory standardsAssists with the preparation of the annual operating budgetFrequent internal ad-hoc data and analytic requestsLeverage exceptional analytical and communication skills, and will apply your broad knowledge of pharmacy practice to help our team achieve performance objectivesResearch – Utilize targeted searches of the internet and other available sources to conduct primary and secondary research on topics of interest in the field of healthcare reimbursement and compliance if neededAnalysis - Evaluate the data collected through task analysis of business processes utilizing source data from our systems which include Epic, Enterprise Rx, Dromos PTM, Cover-My Meds. Etc.Validation – Collect and analyze requirements and coordinate the assembly of the final deliverable with the primary stakeholder.Accuracy – Utilize up-to-date sources to confirm and validate the task requirements as assigned and the accuracy of the deliverable.Communication – Communicate effectively through oral and written mediums with internal teamsTeam participation – Collaborate as part of a functional work team to execute against project requirements.Adaptability –Be flexible in work schedule as project duties require and manage any change requests related to the working project plans daily to meet the agreed upon deadlines.Information management – Maintain the security of sensitive company and client information at all times.Other duties as required.Qualifications:Qualifications:
Four (4) or more years of analytic experience in healthcare or pharmacy preferredB.S. in Pharmacy preferredWorking knowledge of pharmacy and billing and claims processingKnowledge of 340B Drug Discount Program preferredMaster’s Degree in Business, Finance, Informatics, and/or related field preferredMinimum five (5) years of data/reporting experience in the pharmacy industry requiredHigh level expertise in Microsoft Office Suites required
Skills/Abilities/Other Details:
· Strong analytical skills· Attention to detail and organization,· Strong oral and written communication skills· Excellent interpersonal skills, including a strong customer service orientation and the ability to work effectively within a team.· Ability to interact professionally with organization contacts· Strong acumen with establishing and monitoring financial and operational performance measures· Knowledge of pharmacy billing and reimbursement; experience with 340B and Medicare Part B a plus.· Ability to work quickly and efficiently· Self-motivated and resourceful
· Ability to work with confidential information
EEO StatementMass General Brigham is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.Primary Location MA-Somerville-MGB Assembly RowWork Locations MGB Assembly Row 399 Revolution Drive Somerville 02145Job Business and Systems AnalystOrganization Mass General BrighamSchedule Full-timeStandard Hours 40Shift Day JobEmployee RegularJob Posting Oct 16, 2024