Location: Guaynabo, Puerto Rico
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.
Responsibilities include but are not limited to
- 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.
Required
NCPDP and medical claims billing - experience (1 year)
Excel- Basic (Required)
***Equal Opportunity Employer M/F/V/D***
Job description provided by Alivia Health.
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