Company Name:-
Blue Shield of California

Job Location:-
Woodland Hills, CA

Job Summary:-
Job detailsJob TypeFull-timeFull Job DescriptionJob Summary
Blue Shield of California (BSC) is looking for a Senior Pharmacy Analyst, Rx Performance and Revenue Management to support vendor financial performance monitoring and guarantee reconciliation and medical drug rebate invoicing.

Responsibilities:
Pharmacy rebate and pharmacy network contract performance
Review and validate vendor-provided reports
Design and maintain management dashboards to monitor and report vendor performance
Support Formulary Rebate model review, as needed
Work with Actuarial to support pharmacy network performance forecasting and reporting for Finance and Cost of Health Care
Complete mandated reporting to state and federal regulators
Support pharmacy rebate audits
Medical drug rebate invoicing and payment tracking
Work with Enterprise Analytics to obtain medical claims data
Support medical rebate strategy and rebate model review with Specialty Drug and COHC Strategy team
Submit medical rebate invoices and coordinate with pharmaceutical manufacturers
Complete finance payment tracking and reconciliation
Work with Actuarial to support pharmacy rebate performance forecasting and reporting for Finance and Cost of Health Care
Support medical drug rebate financial audits
Support analysis of pharmacy preferred network benefit design changes, and other work to support pharmacy product development
Review and validate other pharmacy reports as needed
Knowledge and Experience:
Bachelor’s degree or equivalent
Experience in data analysis, financial contract management and dashboard reporting
Previous health plan pharmacy or PBM experience in multi-disciplinary setting preferred
Additionally Preferred:
Possesses excellent verbal and written skills and strong business acumen with ability to convey and understand complex ideas
Strong analytical skills with ability to interpret and translate data to reconcile and determine potential trends or issues
Must be proficient in MS Office, particularly MS Word, PowerPoint, Excel, and other analytical software
Knowledge of key pharmacy performance metrics and drivers and PBM levers preferred
Detail-oriented with the ability to work in a fast-paced environment
Exhibits “can do” attitude and solution-oriented a

FOR MORE DETAILS CLICK BELOW LINK

Click Here For More Details