Title: Specialty Pharmacy Business Analyst
Location: Burlington, MA United States
Hybrid
Full time
RQ3308677
Job Description:
Site: Mass General Brigham Incorporated
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.
Job Summary
Reporting to the Operations Director of Specialty Pharmacy, the Specialty Pharmacy Business Analyst is part of the Mass General Brigham Specialty Pharmacy (MGB SP) administrative team. MGB SP is an LLC, operating under the MGB health system supporting the specialty pharmacy needs of all MGB patients.
Our mission is to decrease the administrative burden in our clinics, improve quality and safety through clinical diligence, decrease the patient financial toxicity often associate with these medications, and provide an additional revenue stream for the Mass General Brigham enterprise to support its broader mission.
Responsibilities of the Analyst will include the gathering and management of data required for business operation and planning, financial and operational reporting, accreditation support, periodic reports to pharma companies and insurers, trending operational metrics, the preparation and tracking of budgets, and day to day support of our operation.
Hybrid Schedule: Mainly onsite in Burlington, but there will be opportunities to work remotely
Responsibilities:
The Specialty Pharmacy Business Analyst will support:
Specialty drug procurement & reimbursement analysis
340B contract pharmacy reporting
Opportunities to maximize reimbursement in compliance with regulatory standards
Assists with the preparation of the annual operating budget
Frequent internal ad-hoc data and analytic requests
Leverage exceptional analytical and communication skills, and will apply your broad knowledge of pharmacy practice to help our team achieve performance objectives
Research - Utilize targeted searches of the internet and other available sources to conduct primary and secondary research on topics of interest in the field of healthcare reimbursement and compliance if needed
Analysis - Evaluate the data collected through task analysis of business processes utilizing source data from our systems which include Epic, Enterprise Rx, Dromos PTM, Cover-My Meds. Etc.
Validation - Collect and analyze requirements and coordinate the assembly of the final deliverable with the primary stakeholder.
Accuracy - Utilize up-to-date sources to confirm and validate the task requirements as assigned and the accuracy of the deliverable.
Communication - Communicate effectively through oral and written mediums with internal teams
Team participation - Collaborate as part of a functional work team to execute against project requirements.
Adaptability -Be flexible in work schedule as project duties require and manage any change requests related to the working project plans daily to meet the agreed upon deadlines.
Information management - Maintain the security of sensitive company and client information at all times.
Other duties as required.
Qualifications
Qualifications:
Four (4) or more years of analytic experience in healthcare or pharmacy preferred - B.S. in Pharmacy preferred
Working knowledge of pharmacy and billing and claims processing
Knowledge of 340B Drug Discount Program preferred
Master's Degree in Business, Finance, Informatics, and/or related field preferred
Minimum five (5) years of data/reporting experience in the pharmacy industry required
High level expertise in Microsoft Office Suites required
Skills/Abilities/Other Details:
·Strong analytical skills
Attention to detail and organization,
Strong oral and written communication skills
Excellent interpersonal skills, including a strong customer service orientation and the ability to work effectively within a team.
Ability to interact professionally with organization contacts
Strong acumen with establishing and monitoring financial and operational performance measures
Knowledge of pharmacy billing and reimbursement; experience with 340B and Medicare Part B a plus.
Ability to work quickly and efficiently
Self-motivated and resourceful
Ability to work with confidential information
Additional Job Details (if applicable)
Additional Job Description
Remote Type
Hybrid
Work Location
31 North Avenue
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
