Specialty Pharmacy Business Analyst at Mass General Brigham in Somerville, Massachusetts

Job Description:

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.


We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step.


Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.


Reporting to the Operations Director of Specialty Pharmacy, the Specialty Pharmacy Business Analyst is part of the Mass General Brigham Specialty Pharmacy (MGB SP) administrative team. MGB SP is an LLC, operating under the MGB health system supporting the specialty pharmacy needs of all MGB patients.


Our mission is to decrease the administrative burden in our clinics, improve quality and safety through clinical diligence, decrease the patient financial toxicity often associate with these medications, and provide an additional revenue stream for the Mass General Brigham enterprise to support its broader mission.


Responsibilities of the Analyst will include the gathering and management of data required for business operation and planning, financial and operational reporting, accreditation support, periodic reports to pharma companies and insurers, trending operational metrics, the preparation and tracking of budgets, and day to day support of our operation.



Hybrid Schedule: Mainly onsite in Burlington, but there will be opportunities to work remotely




Responsibilities:




The Specialty Pharmacy Business Analyst will support:

• Specialty drug procurement & reimbursement analysis


• 340B contract pharmacy reporting


• Opportunities to maximize reimbursement in compliance with regulatory standards


• Assists with the preparation of the annual operating budget


• Frequent internal ad-hoc data and analytic requests


• Leverage exceptional analytical and communication skills, and will apply your broad knowledge of pharmacy practice to help our team achieve performance objectives


• Research - Utilize targeted searches of the internet and other available sources to conduct primary and secondary research on topics of interest in the field of healthcare reimbursement and compliance if needed


• Analysis - Evaluate the data collected through task analysis of business processes utilizing source data from our systems which include Epic, Enterprise Rx, Dromos PTM, Cover-My Meds. Etc.


• Validation - Collect and analyze requirements and coordinate the assembly of the final deliverable with the primary stakeholder.


• Accuracy - Utilize up-to-date sources to confirm and validate the task requirements as assigned and the accuracy of the deliverable.


• Communication - Communicate effectively through oral and written mediums with internal teams


• Team participation - Collaborate as part of a functional work team to execute against project requirements.


• Adaptability -Be flexible in work schedule as project duties require and manage any change requests related to the working project plans daily to meet the agreed upon deadlines.


• Information management - Maintain the security of sensitive company and client information at all times.


• Other duties as required.

Qualifications

Qualifications:

• Four (4) or more years of analytic experience in healthcare or pharmacy preferred


• B.S. in Pharmacy preferred


• Working knowledge of pharmacy and billing and claims processing


• Knowledge of 340B Drug Discount Program preferred


• Master's Degree in Business, Finance, Informatics, and/or related field preferred


• Minimum five (5) years of data/reporting experience in the pharmacy industry required


• High level expertise in Microsoft Office Suites required

Skills/Abilities/Other Details:

• • Strong analytical skills


• • Attention to detail and organization,


• • Strong oral and written communication skills


• • Excellent interpersonal skills, including a strong customer service orientation and the ability to work effectively within a team.


• • Ability to interact professionally with organization contacts


• • Strong acumen with establishing and monitoring financial and operational performance measures


• • Knowledge of pharmacy billing and reimbursement; experience with 340B and Medicare Part B a plus.


• • Ability to work quickly and efficiently


• • Self-motivated and resourceful


• • Ability to work with confidential information

EEO Statement

Mass General Brigham is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Apply Now