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MedImpact Healthcare Systems, Inc. · 10 hours ago

Senior Performance Guarantee Analyst

San Diego, CA

Full-time

Hybrid

Senior Level

$72K/yr - $120K/yr

5+ years exp

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join their team. The Performance Guarantee Reporting and Financial Analyst manages the daily operations of the Client PG Reporting, responsible for data gathering, analysis, and preparation of client performance guarantee report packages.

Health CarePharmaceutical

No H1B

Responsibilities

Design long-term operational, technical and strategic solutions to effectively manage and accurately report client performance metrics

Develop, translate and execute policies, business processes and standards into objectives

Ensures that deliverables meet the quality levels expected by internal and external customers

Responsible for automating the reporting requirements for the department and coordinating efforts with the onsite COGNOS business intelligence team

Performs ad-hoc analyses as requested and needed by business owners, or in support of identified business objectives, with special focus on pharmacy network set-up and performance

Analyzes data/results to ensure completeness and accuracy of metric reporting to clients. Provides timely written report summary to clients

Interprets and analyzes data outputs to explain possible anomalies that exist within the data to management and external clients

Interprets and reviews Contract language for penalty calculation of non-performance of service agreement requirements

Develops, prioritizes and manages analytical components required for client reporting regarding performance including creation of client reports for new and existing clients based upon terms identified in the client contract

Participates in internal communication process for new and renewal metrics

Partners with other MedImpact business units to effectively resolve customer issues and inquiries, implement new business processes, and design solutions that meet the mutual needs of MedImpact and its customers

Utilizes planning, prioritizing, and organizational skills to effectively manage the assets, tools, and processes necessary to achieve business objectives and ensuring timely completion, reporting and delivery of reports to client

Promotes continuous improvement by ensuring adherence to quality principles. Seeks out and actively participates in business initiatives that contribute to service excellence

Actively participates as a member of cross functional workgroups, teams, and committees, as assigned

Attends department and/or company sponsored training programs and meetings as needed

Identify and establish solutions, standards and manage procedures for the quality and timeliness of work performed within the department

Responsible for assisting in client resolution regarding failed performance guarantee metrics including historical trending, analysis and reporting

Responsible for 'Performance Guarantee (PG) Reporting' which includes, but is not limited to the following:

Prepare responses to support new and renewal business including metric standards, criteria, penalties and total risk

Participate in internal prospective client and client implementation handoff meetings

Manage the internal communication process for new and renewal metrics

Facilitation and collection of metric results from internal department process owners and oversight of client reports on a monthly, quarterly and/or annual basis

Quarterly and annual metric reconciliations to determine penalty payouts and related communications with account teams and clients

Support process in researching performance failure to identify process improvement within the organization, and client communications in conjunction with the account team

Supports the Request for Proposal (RFP) process by providing network analyses that are accurate and responsive to RFP questions. Organizes work to provide complete and accurate analyses in order to meet RFP deadlines

Qualification

Performance Guarantee ReportingData AnalysisFinancial Risk UnderstandingSQLCognosContract InterpretationCustomer ServiceAnalytical SkillsOrganizational SkillsProblem SolvingTime Management

Required

BS/BA and 5+ years' experience or equivalent combination of education and experience

Strong proficiency with personal computers and MS Office products to include intermediate to advanced working knowledge of Microsoft Suite including Access

Familiarity with SQL and Cognos is preferred

Strong aptitude to learn and adapt to new programs

Prior pharmacy benefit management experience is ideal

Ability to read and interpret contracts

Strong analytical skills required

Basic understanding of concept of financial risk

High level technical skills and thorough understanding of business analysis

Familiarity with relational databases

Broad knowledge of financial, statistical and health analytic principles required

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals

Ability to compute rate, ratio, and percent and to draw and interpret bar graphs

Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations

Ability to effectively present information to top management, public groups, and/or boards of directors

Benefits

Medical / Dental / Vision / Wellness Programs

Paid Time Off / Company Paid Holidays

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Company

MedImpact Healthcare Systems, Inc.

Glassdoor2.8

MedImpact is the nation’s largest independent health solutions and pharmacy benefit company, serving commercial health plans, government programs, self insured/employer groups, and millions of consumers.

Founded in 1989

San Diego, California, USA

1001-5000 employees