Risk Management Analyst

Job Summary

A company is looking for a Sr. Associate Risk Management Analyst to provide analytical insights and manage payment processes in a remote setting.

Key Responsibilities

• Process daily ACH and weekly check payments to pharmacies, utilizing SQL queries to analyze data sets for reimbursement issues
• Manage the PSAO eData program, including electronic remittance data files and routine audits for enrollment validity
• Serve as a subject matter expert on electronic remittance data, addressing inquiries from internal and external customers using SQL/PLSQL and Excel

Required Qualifications

• 4-year degree in finance, business, or a related field, or equivalent experience
• 2+ years of experience in business analysis or a similar role
• Intermediate proficiency in MS Excel and SQL queries
• Knowledge of managed care from a retail pharmacy or PBM perspective
• Experience with fundamental accounting methodologies and practices