Pharmacy Data Analyst — Claims & Audits

Myers and Stauffer

Indianapolis (IN)

Hybrid

USD 65,000 - 95,000

Full time

11 days ago
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Benefits offered by this job

Health, dental, and vision insurance
401K with company matching
Paid holidays
Tuition reimbursement
Parental leave

Job summary

Myers and Stauffer LC in Indianapolis, IN, is seeking a data analyst focused on pharmacy data to support rate calculations, fiscal modeling and audits for health plans.

You will work with a multidisciplinary team across offices, ensure data quality, and maintain PHI security while delivering clear analyses and dashboards. Bachelor\'s degree required; travel up to 10%; strong Excel/SQL skills; PBM/health plan experience advantageous.

Qualifications

  • Bachelor's degree in accounting, finance, health policy, health information, criminal justice or related field.

Responsibilities

  • Assist with calculation of rates and fiscal modeling based on pharmacy data.
  • Assist on pharmacy related performance audits of health plans.
  • Assist on pharmacy benefit manager audits and claims audits.
  • Assist in the development of criteria and creation of programs with the program design team used to analyze pharmacy claims data.
  • Perform quality reviews of the data output.
  • Analyze data output and interpret results.
  • Manipulate and format data for ease of use by team members and clients.
  • Interface with multi-disciplinary team in multiple office locations.
  • Maintain security and confidentiality of all protected health information when analyzing material.
  • Maintain thorough electronic documentation.

Skills

Analytical skills
Problem solving
Database knowledge
Excel
Word
Access
Excel macros
SQL Server
Tableau
Power BI
Data visualization
SQL queries
Stored procedures
Pharmacy data analysis
PBM experience
Attention to detail
Time management
Travel up to 10%

Education

Bachelor's degree in accounting/finance/health policy/health information/criminal justice or related field

Tools

Microsoft SQL Server
Tableau
Power BI
Excel macros

Job description

Myers and Stauffer LC in Indianapolis, IN, is seeking a data analyst focused on pharmacy data to support rate calculations, fiscal modeling and audits for health plans.

You will work with a multidisciplinary team across offices, ensure data quality, and maintain PHI security while delivering clear analyses and dashboards. Bachelor\'s degree required; travel up to 10%; strong Excel/SQL skills; PBM/health plan experience advantageous.

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