Overview
The primary focus of the Specialty Clinical Business Analyst is to plan, design, develop, and launch efficient business, financial, and operations systems in support of core organizational functions and business processes. This includes gathering and analyzing data in support of business cases, proposed projects, and systems requirements. The Specialty Clinical Business Analyst is also responsible for generating and compiling reports based on the findings. This individual will apply proven communication, analytical, and problem-solving skills to help maximize the benefit of specialty pharmacy clinical programs.
Our Company
Founded in 1926, Maxor is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. Over time, Maxor has built a unique and complementary suite of services and technology offerings that deliver clinical, financial and strategic value to patients, payors and providers across the pharmacy supply chain. Maxor has a proud heritage of growth and innovation earned over the decades. Amarillo, Texas is the legacy headquarters for Maxor, but our talent base is national. We operate pharmacies and other business operation sites across the United States with more than 1200 employees working from 42 states.
Why Maxor?
Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies. At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities. With a workforce of 1,000+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.
Responsibilities
- Generating and publishing quality analytics, including regular (weekly/monthly) reports, ad-hoc requests, and KPIs used to improve clinical operations.
- Ensuring accurate and timely audits for specialty product billing.
- Working with finance teams to review and resolve payment discrepancies
- Review specialty enterprise data to identify and report on cost savings opportunities
- Supporting reporting for accreditation and client business reviews (QBR).
- Assisting in requests for information (RFI) and proposals (RFP) for the specialty organization.
- Using industry benchmarks and advanced tools to present data through charts, graphs, pivot tables, and other visual formats.
- Participating in initiatives aimed at improving processes and identifying opportunities using data resources.
- Analyzing data to derive insights and support business decisions.
- Partner with specialty leadership to identify areas of opportunity using available data resources
- Promptly report any allegations of impropriety to the Compliance Department
- Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program
- Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists
Qualifications
Experience:
- 2+ year’s analytics experience within the healthcare industry (i.e. Specialty Pharmacy, Pharmacy Benefit Management, Managed Care, and/or Health Plans)
- 2+ years of business analysis, data analysis and/or health care planning background preferred
- 2+ years of working with pharmacy data preferred
Education:
- Bachelor’s degree in a related field preferred
- Pharmacy technician certification preferred
Knowledge, Skills, and Abilities:
- Exceptional written and verbal communication skills for delivering technical specifications and professional documentation.
- Excellent planning, organization, and time management for managing tasks and meeting deadlines.
- Strong analytical and conceptual thinking to understand and improve business processes.
- Proven problem-solving skills in analyzing and automating complex business processes.
- Proficient in Microsoft Office Suite, including Word, PowerPoint, and Visio.
- Advanced proficiency in Microsoft Excel (e.g., VLOOKUP, data models, queries) is preferred.
- Experienced in creating detailed reports and delivering professional presentations.
- Team-oriented with experience contributing to high-performing teams, while also capable of working independently and self-learning when required.
WE OFFER
At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.
We offer highly competitive compensation and comprehensive health benefits including:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
- Company-paid basic life/AD&D, short-term and long-term disability insurance
- Rx, dental, vision, other voluntary benefits, and FSA
- Employer-matched 401k Plan
- Industry-leading PTO plan
- And more!
Apply today at: https://www.maxor.com/careers/
Maxor is an EOE, including disability/vets
