Senior Pharmacy Financial Analyst

The Senior Pharmacy Finance Analyst will be responsible for supporting oversight of all financial aspects of Pharmacy and Dental operations and performance. This role will lead with the monitoring/reporting of Pharmacy costs and trends, validating and tracking cost savings opportunities, rebate reporting and maintaining files needed for the oversight of vendors and applicable contracts. In addition, they will support the regulatory area of the both the Pharmacy and Dental departments for all related audits and regulatory reporting.

Duties & Responsibilities:

• Pharmacy and Dental costs and trend surveillance for all lines of business.  Leads the analysis of all therapeutic and dental categories to understand the drivers of cost and utilization increases/decreases for pharmacy and benefit drug spend.
• Works collaboratively to identify, analyze and document pharmacy and dental cost savings initiatives.  Documents all coding, methodology, assumptions, data issues and reporting results for each analysis.
• Monitoring and organizing all aspects of our contract designated contracts This includes but is not limited to validating invoices, audit support, and documenting all expenses that are reimbursable by the vendors
• Assists with monitoring the department budgets and confirming all pharmacy and dental related expenses.
• Adopts best practices in documenting job related processes.  Documents policies and procedures, job aids and workflows for the department
• Supports the validation of all Pharmacy finance-related regulatory reporting submitted by Healthfirst to State and Federal agencies.
• Conducts and assists with ad-hoc analyses as needed by the Pharmacy, Dental and other Healthfirst departments.
• Additional duties as necessary.

Minimum Qualifications:

• Bachelor's Degree from an accredited institution

Preferred Qualifications:

• Intermediate level of understanding how to use Business Intelligence/reporting tools – Base SAS/SAS EG/Tableau/Agility Workbench/SQL Server Management Studio
• Intermediate level of understanding how to use reporting and/or dashboarding as a means to analyze and measure performance.
• Intermediate skill level with MS Excel/Access/Word/PowerPoint
• Experience working with delegated vendors and performing oversight/monitoring activities within a managed care health plan or Pharmacy Benefits Manager.
• Experience working with performing oversight/monitoring activities within a Dental Benefits Manager.
• Excellent time management skills to handle multiple projects and manage shifting priorities.

Compliance & Regulatory Responsibilities: Noted Above

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst.  Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470

• All Other Locations (within approved locations): $71,600 - $106,505

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

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