Reporting and Analytics Director – Health Economics, Value-Based Enablement
Elevance Health
PythonSQL
Formulary Business Analyst II
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: District of Columbia, Illinois, Maryland, New Jersey, New York • 🇺🇸 United States
Visit company websiteSalary
💰 $62,916 - $107,856 per year
Job Level
JuniorMid-Level
Tech Stack
PythonSQL
About the role
- Acts as liaison with clinical team to coordinate timely and accurate completion of various business deliverables.
- Maintains clinical formulary/utilization management (prior authorization, step therapy & quantity limits) in web-based formulary management tool, Formulary Navigator.
- Support communication of clinical program and formulary changes to members and providers as well as internal stakeholders.
- Support quality assurance processes of clinical programs and formulary strategy
- Support compliance with PBM Accreditation requirements
- Support departmental compliance with state and federal regulations.
- Conducts root cause analysis of processes and issues, identifies, and makes recommendations for improvements, and develops documentation.
- Communicate plans, status, and issues within the team, group, or project, including business members and management.
Requirements
- Requires a BS/BA degree in related field and a minimum of 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background.
- Experience with Excel skills strongly desired.
- PBM or pharmacy experience (e.g. pharmacy technician, Formulary Product Manager) strongly preferred.
- Experience with Medicaid formularies preferred.
- Experience with Python, SAS, or SQL preferred.
- Formulary Software tool (e.g. Formulary Navigator, RxFlex) experience strongly preferred.
- For candidates working in person or virtually in the below location(s), the salary range for this specific position is $62,916 to $107,856.
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase and 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical, dental, vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisdatabase structuresquery and reporting toolsExcelPythonSASSQL
Soft skills
communicationcoordinationquality assuranceroot cause analysisrecommendations for improvements
