DEERFIELD, IL, 60015, USA
9 days ago
Analyst, Payor Operations and Solutions
**Job Description:** **Job Summary** 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 Boots Alliance** Walgreens Boots Alliance (Nasdaq: WBA) is an integrated healthcare, pharmacy and retail leader serving millions of customers and patients every day, with a 175-year heritage of caring for communities. A trusted, global innovator in retail pharmacy with approximately 12,500 locations across the U.S., Europe and Latin America, WBA plays a critical role in the healthcare ecosystem. Through dispensing medicines, improving access to pharmacy and health services, providing high quality health and beauty products and offering anytime, anywhere convenience across its digital platforms, WBA is shaping the future of healthcare in the thousands of communities it serves and beyond. WBA employs approximately 311,000 people, with a presence in eight countries and consumer brands including: Walgreens, Boots, Duane Reade, No7 Beauty Company and Benavides. The Company is proud of its contributions to healthy communities, a healthy planet, an inclusive workplace and a sustainable marketplace. In fiscal 2024, WBA scored 100% on the Disability Equality Index for disability inclusion. 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 More Company information is available at www.walgreensbootsalliance.com . **Job ID:** 1549516BR **Title:** Analyst, Payor Operations and Solutions **Company Indicator:** Walgreens **Employment Type:** **Job Function:** Corporate Affairs/External Affairs **Full Store Address:** 108 WILMOT ROAD,DEERFIELD,IL 60015 **Full District Office Address:** 108 WILMOT ROAD,DEERFIELD,IL,60015-05108-00001-Y **External 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. We will consider employment of qualified applicants with arrest and conviction records. \#VHDEI **Shift:** **Store:**
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