About The Position

The Revenue & Profitability Analyst is responsible for data analysis, data review and auditing the correct input into the pharmacy software, within the organization. Revenue & Profitability Analyst will assess the suitability of constant monitoring of data entry, ensure quality and integrity of the data. The Revenue & Profitability Analyst will work with all department leaders and top management and be a key asset in operational efficiency increases and process improvements through data analysis and reporting.

Requirements

  • NCPDP and medical claims billing - experience (1 year)
  • Excel- Basic (Required)

Nice To Haves

  • PowerPoint – Basic (Preferred)
  • Microsoft Word- Basic (Preferred)

Responsibilities

  • Perform daily and weekly audits on billed invoices, possible system issues, duplicates or wrong data entered.
  • Daily analysis of current reports for discrepancies or errors and inform respective department heads for correction as needed.
  • Validate contracts and reimbursement paid in the principal payors of PBM claims and inform respective department heads for correction as needed.
  • Adjustment revenues on Alivia’s current programs for any cases approved in cost appeals.
  • Complete monthly review of end of month closing by ensuring all items have been properly cleaned or referred, respectively.
  • Review and profitability analysis of all business lines of Alivia Health.
  • Present monthly result of profitability to Top Management.
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