Walgreens · 8 hours ago
Senior Analyst, Payor Operations and Solutions
Deerfield, IL
Full-time
Onsite
Mid, Senior Level
$71K/yr - $114K/yr
1+ years expWalgreens is a well-established company that serves nearly 9 million customers daily across its extensive network of stores. They are seeking a Senior Analyst to analyze complex data, support decision-making on pharmacy programs, and ensure compliance with contractual terms.
Consumer GoodsHealth CarePharmaceuticalRetail
Responsibilities
Researches, identifies, and improves applications, tools, and systems to fulfill reporting and analysis needs
Assists with new system rollouts and training to promote operational efficiency and productivity
Creates and maintains reports and portals to post, track, and report on initiatives, policies and procedures, departmental forms, and contracted policies and information within contracts
Implements complex processes of new third party plans and updates to ongoing third party plans; reviews and approves administrative paperwork prior to routing implementation information to the appropriate internal departments. Tracks and resolves post-implementation issues related to contracts and pricing
Reviews complex contracts and provides feedback to management regarding potential opportunities, immediate needs related to contracted terms and programs, resolves contract compliance issues and tracks financial impact. Responds to escalated issues
Develops complex financial models to support management decision-making related to new product development, product portfolio analysis, profitability of new opportunities, capital investments, revenue models, profit margin analysis, and impact of regulatory changes. Presents findings to managements and makes recommendations that are market competitive and fit with Walgreens' strategy
Performs complex ad hoc analysis and forecasts for internal management team and external customers
Responsible for the development and implementation of complex SOPs and acts as the subject matter expert on processes, procedures, and functionality
Develops and maintains client relationships by providing services required to meet client needs while monitoring operational policies and procedures; reports gaps in client service and business issues of non-compliance to management
Assists field personnel and management in resolving member issues
Qualification
Required
Bachelor's degree and at least 1 year of experience in healthcare industry field OR High School Diploma / GED and at least 4 years of experience in healthcare industry
At least 1 year of experience pharmacy or medical terminology and various reimbursement methodologies
At least 1 year of experience with third party plan set-up and implementation
Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions
Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates
Experience providing customer service to internal and external customers, including meeting quality standards for services
Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling)
Intermediate level skill in Microsoft PowerPoint (for example: applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and/or formatting font)
Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns)
Experience with project management and lean methodologies
Willing to travel up to 10% of the time for business purposes (within state and out of state)
Preferred
Advanced level skill in Microsoft Excel (for example: using AVERAGE function, merging and centering cells, printing centered page and/or creating a pivot table)
At least two (2) years' experience implementing contracted Third Party programs in the healthcare industry
At least two (2) years' experience administering healthcare contracts
At least two (2) years Payor and facility credentialing experience
At least two (2) years medical reimbursement/fee schedule maintenance experience
Infusion, Specialty Pharmacy, Retail Clinic, and/or Pharmacy Technician experience
Experience using Walgreen proprietary systems (e.g. AS400, SIMS, POS, IC+)
At least 2 years experience working in retail pharmacy operations
Experience providing customer service to internal and external customers, including meeting quality standards and evaluation of customer satisfaction
Company
Walgreens
Walgreens is a pharmacy, health, and wellness service center that offers trained infusion nurses and pharmacists to treat patients. It is a sub-organization of Walgreens Boots Alliance.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$25MKey Investors
Biomedical Advanced Research and Development Authority (BARDA)
2024-07-23Grant· $25M
Leadership Team
Bala Visalatha
Chief Experience and Growth Officer
Barry Hanen
Director, Payments and Card Services
Recent News
Digital Commerce 360
2026-01-07
Business News
2025-11-25
Company data provided by crunchbase