The job profile for this position is Financial Analysis Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.
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Summary: The Financial Analysis Senior Analyst provides professional input to complex data sets and compliance assignments/projects. Utilizing independent judgment and discretion, the Financial Analysis Senior Analyst communicates externally to pharmacies and clients, providing professional responses to inquiries and appeals. As a Financial Analysis Senior Analyst, you will be responsible for conducting appeal reviews, department of insurance complaints, and external communications. In addition, you will assist with ad hoc automation testing. May conduct audits to ensure data controls are maintained. Works autonomously, only requiring minimal technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to communicate internally and externally, analyzes datasets, and meet strict deadlines. This role supports the Strategic Optimization Program.
Responsibilities:
Review, analyze, and response to pharmacy pricing appeals
Review and respond to department of insurance complaints
Monitor external facing email, providing guidance and answering questions
Communicate externally to pharmacies and state Departments of Insurance
Assists with Ad-Hoc data outputs relating to claims, pharmacy appeals and DOI complaints
Qualifications:
Bachelor's Degree in Finance, Accounting or related field preferred
1 + years in a finance, accounting or highly analytical position
Experience in healthcare / insurance industry preferred
Strong communication skills
Experience in a highly regulated business environment
Ability to communicate results of analytics to a multitude of individuals/groups
Strong analytical and problem-solving skills
A self-motivated team player who thrives on challenges, is comfortable working in a fast-paced, dynamic environment, and is ready for development within our Company
Innovative and strong desire to learn.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.