Mass General Brigham (Enterprise Services)
Specialty Pharmacy Business Analyst
Mass General Brigham (Enterprise Services), Somerville, Massachusetts, us, 02145
Mass General Brigham
is a not-for-profit organization committed to supporting patient care, research, teaching, and community service 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 focus 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 recognize success at every step.
Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors: 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 associated with these medications, and provide an additional revenue stream for the Mass General Brigham enterprise to support its broader mission.
Responsibilities: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, applying broad knowledge of pharmacy practice to achieve performance objectivesResearch - Conduct primary and secondary research on topics of interest in healthcare reimbursement and complianceAnalysis - Evaluate data collected through task analysis of business processes utilizing source data from systems including 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 - Confirm and validate task requirements and the accuracy of the deliverable.Communication - Communicate effectively through oral and written mediums with internal teams.Team participation - Collaborate as part of a functional work team to execute project requirements.Adaptability - Be flexible in work schedule and manage change requests related to project plans.Information management - Maintain the security of sensitive company and client information.Other duties as required.
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 skillsAttention to detail and organizationStrong oral and written communication skillsExcellent interpersonal skills, including a strong customer service orientationAbility to interact professionally with organization contactsStrong acumen with establishing and monitoring financial and operational performance measuresKnowledge of pharmacy billing and reimbursement; experience with 340B and Medicare Part B a plusAbility to work quickly and efficientlySelf-motivated and resourcefulAbility to work with confidential information
EEO Statement:Mass General Brigham is an Equal Opportunity Employer. We embrace diverse skills, perspectives, and ideas. 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 RowJob:
Business and Systems AnalystOrganization:
Mass General BrighamSchedule:
Full-timeStandard Hours:
40Shift:
Day JobEmployee Status:
RegularRecruiting Department:
MGB Specialty PharmacyJob Posting:
Oct 16, 2024
#J-18808-Ljbffr
is a not-for-profit organization committed to supporting patient care, research, teaching, and community service 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 focus 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 recognize success at every step.
Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors: 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 associated with these medications, and provide an additional revenue stream for the Mass General Brigham enterprise to support its broader mission.
Responsibilities: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, applying broad knowledge of pharmacy practice to achieve performance objectivesResearch - Conduct primary and secondary research on topics of interest in healthcare reimbursement and complianceAnalysis - Evaluate data collected through task analysis of business processes utilizing source data from systems including 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 - Confirm and validate task requirements and the accuracy of the deliverable.Communication - Communicate effectively through oral and written mediums with internal teams.Team participation - Collaborate as part of a functional work team to execute project requirements.Adaptability - Be flexible in work schedule and manage change requests related to project plans.Information management - Maintain the security of sensitive company and client information.Other duties as required.
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 skillsAttention to detail and organizationStrong oral and written communication skillsExcellent interpersonal skills, including a strong customer service orientationAbility to interact professionally with organization contactsStrong acumen with establishing and monitoring financial and operational performance measuresKnowledge of pharmacy billing and reimbursement; experience with 340B and Medicare Part B a plusAbility to work quickly and efficientlySelf-motivated and resourcefulAbility to work with confidential information
EEO Statement:Mass General Brigham is an Equal Opportunity Employer. We embrace diverse skills, perspectives, and ideas. 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 RowJob:
Business and Systems AnalystOrganization:
Mass General BrighamSchedule:
Full-timeStandard Hours:
40Shift:
Day JobEmployee Status:
RegularRecruiting Department:
MGB Specialty PharmacyJob Posting:
Oct 16, 2024
#J-18808-Ljbffr