AddressYour career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
The primary purpose of the job is to:
The Network Report Analyst is responsible for extracting, manipulating, and evaluating the accuracy of Pharmacy data from various sources to generate reports for new and existing lines of business. This position is responsible for the following deliverables: Pharmacy Network Adequacy Reports, Pharmacy Directories, Pharmacy Related Statutory Reporting, Pharmacy Data Cleaning Validations for new and existing lines of business, and other variable routine and ad hoc systems data pulls/analysis.
Other accountabilities:
- Understands multiple backend Pharmacy data sources (e.g., NCPDP, PRIMA, NPPES, PMNS, corporate vendor-obtained sources, and other External Regulatory data files) for the purposes of writing queries, developing reports as well as designing, developing, implementing, and maintaining business solutions.
- Interprets Pharmacy data using various techniques, from data aggregation to complex data mining.
- Analyzes Pharmacy data files received from joint venture partners to evaluate issues and usefulness.
- Coordinates with technical resources from joint venture partners and other internal resources to address and resolve data questions and anomalies.
- Creates technical specifications for routine, recurring, and ad-hoc reports.
- Assures the accuracy and validity of data and reports through a validation process to cross-reference output and source data; identifies Pharmacy data gaps/anomalies and provides recommended solutions to the business owner.
Education & Experience:
- High School/GED required.
- Bachelor's or Associate’s Degree preferred.
- Business process and quality improvement understanding
- Ability to plan, organize, and handle multiple tasks in minimal timeframes and with limited supervision required
- 3 to 5 years of statistical analysis and complex data mining, including simple data aggregation, basic report preparation, layout, and design
- Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Access). Prior Microsoft Access experience is a requirement.
- Experience with Python, Oracle database management systems, and Structured Query Language (SQL) preferred
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
