Senior Pharmacy Data Analyst

GEICO
0 reviews

Posted on: 29 Apr 2021

Chevy Chase, MD

Apply on Company site Save this job

Job Description

Working out of our Chevy Chase, MD/Washington DC office, under general supervision the responsibilities of the incumbent Senior Pharmacy Data Analyst will:

Evaluate existing Pharmacy Benefits Manager (PBM) agreements
Benchmark against comparators and evaluate proposals, and support negotiations
Prepare annual review including but not limited to: claims data, plan information, and contracts to prepare annual market checks
Prepare detailed analysis of new rates, guarantees and proposed terms to evaluate planned versus actual performance
Identify ways to reduce costs and bring transparency to drug spend
Focus areas include but may not be limited to: Improve clinical outcomes and patient experience, clinical, network, drug pricing and administrative costs
Identify key discrepancies and cost outliers in existing formularies, benefit structure analyses/cost, and utilization impact of formulary change in evaluation of request for proposals from third party bidders; identify finalists, negotiate and analyze best and final offers and select winning bidder(s)

Requirements:

Bachelor’s - Master’s preferred – Preferred Discipline: Healthcare Administration, Business, Finance, Economics, Analytics or Statistics
4+ Years pharmacy or medical data analysis
1+ Years' advanced experience in SQL and/or SAS
1+ Years’ Experience with visualization tools (Tableau, Qlik, Power BI, etc.)
Experience with pharmacy (NDC, AWP, WAC, etc.), Medical Codes: (ICD-10, CP4, HCPC, etc.) and related revenue codes
Knowledge of pharmacy medical claims reimbursement, claim adjudication and downstream analyses
Experience with pharmacy formularies, drug lists, pharmacy benefits and configurations, drug pricing, specialty drugs, rebates, eligibility
Familiarity with pharmacy and provider networks: NCPDP Data, Medi-Span Data, FDB Data, and RJ Health Data
Strong technical and written communication skills
Strong attention to detail, critical thinking, and problem-solving skills
Ability to incorporate large data sets from multiple channels
Ability to present technical content to non-technical audiences
Effective time management while working multiple projects simultaneously
Proficient with Microsoft suite and advanced knowledge of Microsoft Excel
Working knowledge of HIPAA, PHI and PPI, SOC1, SOC2, and HITRUST guidelines and descriptive statistical application and techniques
Possess intellectual curiosity, innovation and creativity

Note: The safety of our associates, both current and future, is GEICO’s highest priority. At this time, most of our associates are working remotely due to the current COVID-19 pandemic. Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area. Once GEICO determines it is safe for associates to return to the office, candidates may be required to work in our Chevy Chase, MD office.

Benefits:

As a Senior Pharmacy Data Analyst , you’ll enjoy our Total Rewards Program* to help secure your financial future and preserve your health and well-being, including:

Premier Medical, Dental and Vision Insurance with no waiting period**
Paid Vacation, Sick and Parental Leave
401(k) Plan with Profit Sharing
Tuition Reimbursement
Paid Training and Licensures

*Benefits may be different by location. Benefit eligibility requirements vary and may include length of service.

**Coverage begins with the pay period after hire date. Must enroll in New Hire Benefits within 30 days of the date of hire for coverage to take effect.

GEICO

Chevy Chase, MD

GEICO At A Glance

Want to find out just how many customers we serve? Interested in seeing proof of GEICO's financial strength? Just want to know what the heck GEICO stands for? You've come to the right place. Peruse the facts and figures here to find out everything you've ever wanted to know about GEICO corporate operations.

What does GEICO stand for?

Government Employees Insurance Company. Puzzled, are you? Well, the name goes back to the beginnings of the company. Founder Leo Goodwin first targeted a customer base of U.S. government employees and military personnel. Today, of course, the company has grown to provide insurance to a wide range of customers, whether they're employed by Uncle Sam or the private sector.

How many customers does GEICO serve?

More than 17 million auto policies in force and growing
GEICO insures more than 28 million vehicles

Just The Stats On GEICO

Tony Nicely, Executive Chairman
Bill Roberts, Vice Chairman
Todd Combs, President and CEO
Second-largest private passenger auto insurer in the United States (A.M. Best)
One of the fastest-growing major auto insurers in the U.S.
Employs more than 40,000 associates
Maintains 17 major offices around the country
Provides 24-hour service, seven days a week, 365 days a year
Seven affiliated companies to meet insurance needs of drivers

What's the connection with Berkshire Hathaway?

In 1996, GEICO became a wholly owned subsidiary of Berkshire Hathaway, headed by Warren Buffett, one of the country's most successful investors. For the past several years, Fortune magazine has named Berkshire's property-casualty insurance operation the most admired in the country.

Who vouches for GEICO's financial strength?

Government Employees Insurance Company (GEICO) and its affiliate companies (GEICO General Insurance Company, GEICO Indemnity Company, GEICO Casualty Company, GEICO Advantage Insurance Company, GEICO Choice Insurance Company, GEICO County Mutual, and GEICO Secure Insurance Company) enjoy high ratings in the industry for financial strength and claims-paying ability:

AA+ rating from Standard and Poor's
Aa1 from Moody's
A++ from A. M. Best

When and where to reach GEICO?

Corporate headquarters:
5260 Western Avenue, Chevy Chase, Md. 20815

Mailing address:
One GEICO Plaza, Washington, D.C. 20076

Regional offices:

Buffalo, New York
Dallas, Texas
Fredericksburg, Virginia
Lakeland, Florida
Macon, Georgia
San Diego, California
Tucson, Arizona
Virginia Beach, Virginia
Woodbury, New York

Service centers:

Honolulu, Hawaii
Indianapolis, Indiana
Kansas City, Kansas
Iowa City, Iowa

Claims centers:

Houston, Texas
Marlton, New Jersey
Seattle, Washington

What does GEICO offer our men and women in uniform?

Since its founding in 1936, GEICO has worked to offer members of the U.S. military the most affordable insurance options. We continue to recognize the troops' important service to our country with special discount programs and service options, whether they are deployed domestically or abroad, in peacetime, or in times of conflict. GEICO is always committed to providing members of the military the service and respect that they deserve.

Does GEICO offer more than car insurance?

Indeed! In addition to auto insurance, GEICO can help you with:

Motorcycle, ATV, RV, and Boat insurance
Homeowners, Renters, Condo, Co-op, and Mobile Home insurance
Personal Umbrella Protection
Life insurance
Flood insurance
Overseas insurance
Business Owners Policy
Professional Liability insurance
General Liability insurance
Commercial Auto insurance
Collector Car insurance
Identity Protection
Jewelry insurance