AmeriHealth Caritas Jobs

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AmeriHealth Caritas Senior Pharmacy Analyst in Philadelphia, Pennsylvania

Senior Pharmacy Analyst

Location: Philadelphia, PA

Primary Job Function: Medical Management

ID**: 19145

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com .

Responsibilities:

  • Supports PerformRx's and AmeriHealth Caritas' corporate, plan-level, and departmental strategies and goals by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems

  • Develop and maintain databases and relational tables using at least two of the following programming languages: SAS, SQL, R, and Powershell

  • Develop and maintain analytical models and complex automated reports using Business Intelligence tools such as SAS EG, SAS Advance, Cognos, Tableau, and Business Objects

  • Develop and maintain new reference databases from different sources including claims, eligibility, pharmacy network, Prescriber, Rebate, First Data Bank, Medispan, etc., on various data warehouse platforms including SQL, Hadoop, Oracle, and DB2

  • Develop and implement data-driven solutions to meet business requirements by producing data sets, reports, and analytics across a variety of subject matters including, but not limited to, Pharmacy Management, Account Management, Network Management, Contracting, Pricing, Finance, PerformRx Clients and RFPs

  • Translate business requirements into production of both ad hoc and recurring reports and data sets

  • Ensure the accuracy and validity of both source data and results, interpret results into recommendations, and presents findings to internal and external business customers

  • Ensure the ongoing high performance level of the overall department through continued knowledge acquisition and knowledge sharing with co-workers

Education/Experience:

  • Bachelor’s Degree in Computer Science, Data Science, Informatics, Information Systems or other related fields required

  • Master’s Degree in Business, Computer Science, Data Science, Finance, Informatics or related field strongly preferred

  • Minimum five (5) years experience of data/reporting in the health care industry

  • Minimum three (3) years experience and advance working knowledge of Microsoft SQL Studio, and SAS or Tableau required

  • Experience in conducting analysis and developing reports in at least two of the following data warehouse platforms: SQL, Hadoop, Oracle, DB2. Sybase

  • Strong working knowledge of MS Office Suites required

EOE Minorities/Females/Protected Veterans/Disabled

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