Careers at RxSense

Business Analyst, Enterprise Platform Services

JOB SUMMARY:

RXSENSE is a forward-thinking, growth-oriented healthcare services and technology company that provides state of the art pharmacy solutions. The Business Analyst in the Enterprise Platform Services division will report to the VP of Finance Administration and will be responsible for implementing, maintaining, and managing pricing for clients and pharmacies in RxAgile, the adjudication platform of RxSense.  This critical role bridges the technology platform and finance (pricing) and will provide the Business Analyst an opportunity to assist in implementing and managing contract positions for the company. 

PRIMARY JOB DUTIES & RESPONSIBILITIES:

• Implement client and pharmacy pricing in RxAgile as directed by the VP of Finance Administration to include contracted rates and MACs
• Maintain and manage pricing in RxAgile post-implementation of client contracts to ensure contract objectives are achieved
• Maintain and manage pricing in RxAgile for pharmacy contracts to ensure contract compliance objectives are achieved
• Collaborate and coordinate with network management, benefits management, and other departments to build, implement and manage pricing in the adjudication platform for clients and pharmacies
• Analyze claim activity and produce reporting to show client and pharmacy contract objectives have been achieved
• Enhance and manage QA and claim testing process to ensure contract compliance and objectives

• Support the annual budget process as needed
• Be a subject matter expert for all things related to RxAgile pricing
• Conduct special projects as assigned

DESIRED KNOWLEDGE, SKILLS, & ABILITIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

• Excellent working knowledge of pharmacy benefit administration
• Proficient ability to own the success of projects with minimal supervision using sound judgment, while maintaining a professional and positive demeanor
• Must be able to develop and maintain strong working relationships on a multi-level basis
• Superior written and verbal communication skills - ability to communicate information & ideas clearly & concisely
• Ability to foster a positive and creative work environment
• Ability to work in a dynamic fast-paced atmosphere
• Ability to maintain confidentiality
• Ability to work under tight deadlines

Education and/or Experience:  

• Bachelor’s degree, emphasis in Accounting, Finance, Business Administration, or a technology degree with strong work experience related to finance.  Technology background with an MBA would be ideal.
• Minimum of 5 years of pharmaceutical distribution and/or pharmacy benefits industry experience strongly preferred
• Strong business acumen, analytical skills, written and oral communication skills
• Highly proficient in Microsoft; Excel, Word, and PowerPoint
• Strong preference for an individual with data warehouse, SQL, and other data mining experience

PHYSICAL DEMANDS & WORK ENVIRONMENT:

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regularly required to sit and talk or hear and operate equipment. Frequently required to stand and walk.
• Regularly required to lift and/or move up to 15 pounds.
• Ability to stand for long periods of time and walk short distances.
• The noise level in the work environment is moderate. Personal Protective Equipment may be recommended and/or required in some areas.
• Travel required is less than 15%.