Senior Analyst

Job Summary

A company is looking for a Senior Analyst - Remote.

Key Responsibilities:

• Develop innovative solutions to enhance business operations within the PA experience
• Ensure adherence to regulatory requirements and organizational standards through quality reporting and analysis
• Support and mentor junior staff on audit, regulatory, and performance processes

Required Qualifications:

• 2+ years of experience in pharmacy PA scope of services
• 2+ years of experience in audit, regulatory, or performance processes
• 2+ years of experience with standards across NCQA, URAC, CMS, ERISA, and state departments of insurance
• 1+ years of experience navigating Prior Authorization System (PAS)
• Demonstrated intermediate or higher proficiency with Microsoft Office applications