Analyst, Payor Operations and Solutions (Hybrid - Chicago)

Address: 106 WILMOT RD,DEERFIELD,IL,60015-05123-01106-2

Job ID 1384786BR

Apply

Analyzes data to support the decision making on individual proposals and contracts related to pharmacy programs. Data analysis may include new product pricing, product portfolio, profitability of new opportunities with current and new clients, impacts of regulatory changes, capital analysis, and profit margin analysis. Assists in the development, implementation, on-going monitoring of strategies and tools to ensure 3rd party pharmacy programs are in compliance with contractual terms and conditions pertaining to designated product or service offering.

Job Responsibilities

Creates and maintains reports and portals to post, track, and report on initiatives, policies and procedures, departmental forms, and contracted policies and information within contracts.
Assists in the implementation processes of new third party plans and updates to ongoing third party plans; reviews and approves administrative paperwork prior to routing implementation information to the appropriate internal departments. Assists with tracking and resolving post-implementation issues related to contracts and pricing.
Reviews contracts and provides feedback to management regarding potential opportunities, immediate needs related to contracted terms and programs, resolves contract compliance issues and tracks financial impact.
Escalates issues as necessary.
Assists in development of financial models to support management decision-making related to new product development, product portfolio analysis, profitability of new opportunities, capital investments, revenue models, profit margin analysis, and impact of regulatory changes. Presents findings to managements and makes recommendations that are market competitive and fit with Walgreens' strategy.
Performs ad hoc analysis and forecasts for internal management team and external customers.
Assist in the development of SOPs and provides guidance on processes, procedures, and functionality related to Contracts & Pricing.
Develops and maintains client relationships by providing services required to meet client needs while monitoring operational policies and procedures; reports gaps in client service and business issues of non-compliance to management.
Assists field personnel and management in resolving member issues

About Walgreens and WBA :
Walgreens (www.walgreens.com) is included in the U.S. Retail Pharmacy and U.S. Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq: WBA), an integrated healthcare, pharmacy and retail leader with a 170 year heritage of caring for communities. WBA’s purpose is to create more joyful lives through better health. Operating nearly 9,000 retail locations across America, Puerto Rico and the U.S. Virgin Islands, Walgreens is proud to be a neighborhood health destination serving nearly 10 million customers each day. Walgreens pharmacists play a critical role in the U.S. healthcare system by providing a wide range of pharmacy and healthcare services, including those that drive equitable access to care for the nation’s medically underserved populations. To best meet the needs of customers and patients, Walgreens offers a true omnichannel experience, with fully integrated physical and digital platforms supported by the latest technology to deliver high quality products and services in communities nationwide.
The actual salary an employee can expect to receive, plus bonus pursuant to the terms of any bonus plan if applicable, will depend on experience, seniority, geographic location, and other factors permitted by law. To review benefits, please visit jobs.walgreens.com/benefits.

"An Equal Opportunity Employer, including disability/veterans".

#LI-CB1

Basic Qualifications

Bachelor's degree OR High School Diploma / GED and at least 3 years of experience in healthcare industry.
Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.
Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
Experience providing customer service to internal and external customers, including meeting quality standards for services.
Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling).
Intermediate level skill in Microsoft PowerPoint (for example: applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and/or formatting font).
Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns).
Understanding of project management and lean methodologies.
Willing to travel up to 10% of the time for business purposes (within state and out of state).

Preferred Qualifications

Advanced level skill in Microsoft Excel (for example: using AVERAGE function, merging and centering cells, printing centered page and/or creating a pivot table).
At least 2 years experience implementing contracted Third Party programs in the healthcare industry.
At least 2 years’ experience administering healthcare contracts.
At least 2 years Payor and facility credentialing experience.
At least 2 years medical reimbursement/fee schedule maintenance experience.
Infusion, Specialty Pharmacy, Retail Clinic, and/or Pharmacy Technician experience.
Experience using Walgreen proprietary systems (e.g. AS400, SIMS, POS, IC+)
At least 2 years experience working in retail pharmacy operations.
Experience providing customer service to internal and external customers, including meeting quality standards and evaluation of customer satisfaction.

An employee in this position can expect a salary/hourly rate between $60,600 and $97,200 plus bonus pursuant to the terms of any bonus plan, if applicable. The actual compensation offered will depend on experience, seniority, geographic locations, and other factors permitted by law. To review benefits, please click here jobs.walgreens.com/benefits.

Salary Range$60600 - $97200 / Salaried

Apply