Business Analyst
Title: Business AnalystCompany: Blue ShieldContract: ends 1/31/19 (covering Leave Of Absence)Location: San Francisco, CA94105Start Date: ASAP
Responsibilities:* Monitor performance of mail order and specialty pharmacy services.* Lead efforts to research, coordinate, and track mail order and specialty pharmacy issues impacting members and/or Blue Shield.* Enter tickets in pharmacy vendor application tool and track requests; tasks; and/or production defects to completion.* Coordinate and oversee 1/1 readiness activities involving pharmacy vendors.* Partner with cross functional teams to ensure contract deliverables are met, accurately tracked, and received within the timelines agreed upon.* Act as point of contact for escalation of issues related to pharmacy vendors.* Facilitate cross functional meetings with internal and external participants with a focus on resolving escalated issues in pharmacy network and/or claims processing.* Take meeting minutes, action items, and follow up on open items to ensure completion.* Participate in meetings with vendors and internal team members.* Perform other duties as assigned.
Skills:* Bachelor's Degree or equivalent and four years related healthcare experience, or equivalent combination of education and experience.* Advanced knowledge of health care operations and broad understanding of the industry.* Advanced knowledge of pharmacy networks, mail and specialty pharmacy operations, healthcare contracting, and claims payment.* Solid understanding of pharmacy benefit plan design, pharmacy claims processing, and health related insurance products.* Solid understanding of and demonstrated ability to perform analyses such as process mapping, root cause, risk assessment and requirements data gathering.* Strong documenting, planning and organizing skills to scope and manage multiple competing priorities.* Experience building and managing relationships across the organization as well as with external business partners.* Excellent interpersonal and verbal and written communication skills that exhibit a solutions oriented approach.* Demonstrated ability to influence and drive ideas, initiatives, goals, and quality decisions throughout the organization, including with teams, peers, and leaders.
Experis is an Equal Opportunity Employer
Job Type:Contract
Location:San Francisco, CA
Date Posted:Dec 11, 20180 days ago
Industry:Pharmaceuticals
Title: Business AnalystCompany: Blue ShieldContract: ends 1/31/19 (covering Leave Of Absence)Location: San Francisco, CA94105Start Date: ASAP
Responsibilities:* Monitor performance of mail order and specialty pharmacy services.* Lead efforts to research, coordinate, and track mail order and specialty pharmacy issues impacting members and/or Blue Shield.* Enter tickets in pharmacy vendor application tool and track requests; tasks; and/or production defects to completion.* Coordinate and oversee 1/1 readiness activities involving pharmacy vendors.* Partner with cross functional teams to ensure contract deliverables are met, accurately tracked, and received within the timelines agreed upon.* Act as point of contact for escalation of issues related to pharmacy vendors.* Facilitate cross functional meetings with internal and external participants with a focus on resolving escalated issues in pharmacy network and/or claims processing.* Take meeting minutes, action items, and follow up on open items to ensure completion.* Participate in meetings with vendors and internal team members.* Perform other duties as assigned.
Skills:* Bachelor's Degree or equivalent and four years related healthcare experience, or equivalent combination of education and experience.* Advanced knowledge of health care operations and broad understanding of the industry.* Advanced knowledge of pharmacy networks, mail and specialty pharmacy operations, healthcare contracting, and claims payment.* Solid understanding of pharmacy benefit plan design, pharmacy claims processing, and health related insurance products.* Solid understanding of and demonstrated ability to perform analyses such as process mapping, root cause, risk assessment and requirements data gathering.* Strong documenting, planning and organizing skills to scope and manage multiple competing priorities.* Experience building and managing relationships across the organization as well as with external business partners.* Excellent interpersonal and verbal and written communication skills that exhibit a solutions oriented approach.* Demonstrated ability to influence and drive ideas, initiatives, goals, and quality decisions throughout the organization, including with teams, peers, and leaders.
Experis is an Equal Opportunity Employer