Location: Remote (For NonLocal) or Hybrid (Local to NYC area)
Position Responsibilities
Experience working directly with pharmacy claims data medical claims data and other clinical metrics e.g. lab values PQA/Star/HEDIS measures Medispan etc.
Collaborate with clinical teams to independently develop and run ad hoc and standard analytics and reporting deliverables e.g. clinical program management formulary strategy utilization review (CDUR and RDUR) identify savings opportunities and CMS compliance measures
Integrate quantitative and qualitative analyses to provide strategic insights e.g. program performance utilization trends disruption analyses and savings projections
Utilize best practices and apply knowledge of internal or external business issues e.g. broad market trends newtomarket drugs FDA recalls etc.
Collaborate with vendors as needed to acquire and validate data to support reporting needs for clinical programs
Create and maintain documentation of methodology behind clinical program reporting
Translate data findings into strategic metrics and recommendations disseminating findings to stakeholders from operational teams up to executive leaders
Develop ad hoc and standard reports and dashboards to support internal and external analytics and reporting needs while identifying opportunities to support automation goals
Collaborate with crossfunctional teams on special projects and new product initiatives
Propose process improvements and technical solutions with consideration to balancing ROI and development lifecycle timelines
Responsible for the adherence to the Capital Rx Code of Conduct including reporting of noncompliance
Required Qualifications
Undergraduate bachelor’s degree with record of strong academic performance in Computer Science Actuarial Science Statistics or Economics preferred
3 years of proven experience in data & analytics benefits consulting financial consulting etc.
1 years in PBM / health plan / healthcare / Medicare experience
Experience building reports with BI tools such as Tableau
Experience performing complex analyses on large sets of data
Knowledge of data management statistics modeling
Experience working with structured and unstructured data
Skilled in SQL and Excel
Experience or familiarity with Python or R
Track record of leading crossfunctional initiatives driving high performance meeting deadlines and executing on deliverables
Ability to balance multiple complex projects simultaneously delivering in a timely manner
Ability to work independently
Exceptional written and verbal communication skills
Experience in mentoring others
Attention to detail & commitment to delivering highquality work product
Nice to have: knowledge of GitHub capabilities and be a key player in building out the Analytics workspace
Base Salary: $95000 $110000
Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
About Capital Rx
Capital Rx is a fullservice pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA) advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™ Capital Rx is executing its mission through the deployment of JUDI® the company’s cloudnative enterprise health platform and a SingleLedger Model™ which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient scalable platform servicing millions of members for Medicare Medicaid and commercial plans. Together with its clients Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.
Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race color religion age sex national origin disability status medical condition genetic information protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.
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