Pharmacy Senior Business Analyst (Health Plans)
Company: Samaritan Health Services
Location: Corvallis
Posted on: February 4, 2025
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Job Description:
Samaritan Health Plans (SHP) provides health insurance options to
Samaritan employees, community employers, and Medicare and Medicaid
members. SHP operates a portfolio of health plan products under
several different legal structures: InterCommunityHealth Plans,
Inc. (IHN) is designated as a regional Coordinated Care
Organization (CCO) for Medicaid beneficiaries; Samaritan Health
Plans, Inc. offers Medicare Advantage, Commercial Large Group, and
Commercial Large Group PPO and EPO plans; SHP is also the
third-party administrator for Samaritan Health Services'
self-funded employee health benefit plan.
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As part of an Integrated Delivery System, Samaritan Health Plans is
strategically and operationally aligned with Samaritan Health
Services' mission of Building Healthier Communities Together.
This is a remote position in which we are able to employ in the
following states: -Alabama, Alaska, Arizona, Arkansas, Connecticut,
Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky,
Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana,
Nebraska, Nevada, New Hampshire, New Mexico, North Carolina,
Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota,
Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
The Senior Business Analyst provides analytics support to the
Pharmacy Department as a primary function. This role acts as a
liaison among stakeholders to elicit, analyze, communicate, and
validate requirements in supporting pharmacy strategic and
operational processes. The analyst understands business problems
and opportunities in the context of the requirements and industry
trends, recommends, and implements analytical solutions that enable
the department achieve its goals. The candidate must have a working
knowledge of pharmacy claims data, prescription drug events (PDE),
industry drug databases, pharmacy financial data, and formulary
data. They should also possess strong system skills including the
ability to design and create moderate to complex queries of health
care data, including data sets between the Health Plans and its
PBM. This role will serve as a subject matter expert on rebate,
pharmacy claims, and pharmacy data analytics, and oversee the PBM
contract performance from a data perspective. They will also
provide support for the Health Plans Clinical Services Division as
assigned.
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EXPERIENCE/EDUCATION/QUALIFICATIONS
Bachelor's degree required. Master's degree preferred.
Four (4) years business analysis and/or business systems analysis
project coordination related experience required. A Master's degree
in a related field may be substituted for two (2) years
experience.
Experience working on large scale projects as well as handling
day-to-day operational requests from the business required.
Advanced experience and/or training in SQL and Microsoft Excel
required.
Pharmacy data knowledge strongly preferred -
Health plans experience preferred -
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KNOWLEDGE/SKILLS/ABILITIES
Effective written and verbal communication skills to perform group
presentations, tactfully discuss issues, and listen to and
understand concepts, rules and procedures. Ability to work with all
levels within the organization, facilitate communication, and
effectively document related activities.
Ability to identify complex problems, review related information,
employ creativity and alternative thinking to develop and evaluate
options and implement solutions.
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PHYSICAL DEMANDS
Rarely
(1 - 10% of the time)
Occasionally
(11 - 33% of the time)
Frequently
(34 - 66% of the time)
Continually
(67 - 100% of the time)
CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK - LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (0 - 20 pounds force)
PULL (0 - 20 pounds force)
SIT
CARRY 2-handed, 0 - 20 pounds
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
Keywords: Samaritan Health Services, Eugene , Pharmacy Senior Business Analyst (Health Plans), Professions , Corvallis, Oregon
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