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Pharmacy Network Analyst

Date:  Jun 23, 2022

Dublin, OH, US, 43017-7565

Req ID:  7464

Job Description:

  • Analyzes pharmacy network claims data applying knowledge of pharmacy policy and data mining techniques to determine details of access, adequacy, retention, performance, fraudulent, erroneous, or abusive billing activity on claims processing systems,

    geographic access, and various pharmacy network client-specific reporting

  • Prepare draft and final reports, dashboards, and analytic evaluations
  • Provides management and client reporting and profiling
  • Provides performance insights
  • Communicates report findings and observations
  • Provides subject matter expertise regarding pharmacy audit
  • Monitors changes related to data requirements and reporting
  • Supports and implements process improvement initiatives and documentation
  • Supports pharmacy network directory work
  • Supports new business initiatives focused on pharmacy network
  • Supports pharmacy network inquiries and issues
  • Supports claims analyst(s)
  • Other duties as assigned/required

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