Pharmacy Cost Containment Analyst: Data & Compliance

MCS Puerto Rico; San Juan (PR); On-site; USD 65,000 - 90,000; Full time

Job summary

MCS Puerto Rico in San Juan, PR is seeking an experienced analyst to analyze claims and payment data to ensure payment integrity and cost containment within the unit. The role supports management by preparing reports and converting regulatory data into information for decision-making and business objectives.

Regular, exempt position requiring advanced Excel and Power BI skills, with focus on pharmacy cost management and compliance with relevant regulations and programs.

Qualifications

• Bachelor’s degree in a relevant field with at least 3 years in healthcare analytics or finance.
• Strong data analysis skills and attention to detail.
• Advanced Excel and working knowledge of Power BI and data reconciliation.

Responsibilities

• Analyze pharmacy cost management processes related to Inflation Reduction Act provisions.
• Implement and modify cost management processes affected by the Act.
• Reconcile and validate underlying pharmacy data and utilization reports.
• Develop data extracts to identify weaknesses and opportunities in cost management.
• Monitor trends and communicate regulatory changes affecting cost management.
• Coordinate reporting packages for RxDC and MCAS as needed.
• Prepare low-complexity data extraction reports and summaries.

Skills

Pharmacy cost management

Data analysis

Excel

Power BI

Regulatory compliance

Education

Bachelor’s Degree in Business Administration

Healthcare Administration

Tools

Power BI

Excel

SQL

Data reconciliation tools

Job description

MCS Puerto Rico in San Juan, PR is seeking an experienced analyst to analyze claims and payment data to ensure payment integrity and cost containment within the unit. The role supports management by preparing reports and converting regulatory data into information for decision-making and business objectives.

Regular, exempt position requiring advanced Excel and Power BI skills, with focus on pharmacy cost management and compliance with relevant regulations and programs.