Note, this is a fully remote opportunity. Ohio candidates preferred.

　　Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

　　Under limited supervision, designs and executes analysis of data and reports for clients and internal staff that identify actionable opportunities to improve appropriate use of medical and pharmacy benefit drugs to lower total costs of care. Develops new analytic deliverables and enhancements to existing analyses and reports. Assures all analysis and reports are reliable, valid and credible.

　　Responsibilities

　　· Develops and provides drug data consultation, analytics, and reporting for medical drug and pharmacy management for clients and internal staff. Creates and maintains a standard reporting package that reflects the Company’s value to customers. Acts as subject matter expert (SME) to internal customers with regard to the interpretation of drug data using language such as Python and SAS. Creates documentation on all projects to ensure continuity and as a resource for future projects.

　　· Analyzes and interprets medical and pharmacy data and provides recommendations for financial and performance metrics. Collaborates with interdepartmental and cross departmental analysts to ensure prompt delivery of necessary analytics. Identifies potential process improvement for analytical functions within Pharmacy Department.

　　· Manages multiple data projects with competing deadlines. Works with team and department leadership to prioritize deliverables and meet reporting deadlines (weekly, monthly, quarterly or yearly). Coordinates with teammates to ensure deliverables are created efficiently. Tracks work and provides regular progress updates to team and department leadership, and internal and external stakeholders.

　　· Orients, trains, assists more junior level staff.

　　· Performs other duties as assigned.

　　Qualifications

　　Education and Experience

　　· Bachelor’s Degree in epidemiology, biostatistics, economics, public health, healthcare administration, nursing or a related quantitative field required; Master’s Degree preferred.

　　· 5 years progressive experience as a Pharmacy Analyst in health insurance, pharmacy benefit management or a consulting firm, or equivalent experience in various aspects of the healthcare industry (e.g. medical/drug claims processing, provider contracting, medical/ drug policy, utilization management, and reimbursement).

　　Professional Certification

　　· SAS, Tableau Certification preferred.

　　· Microsoft Excel Certification preferred.

　　Technical Skills and Knowledge

　　· Advanced skills in data extraction and analytical programming languages (SAS, SQL), and data visualization tools (Tableau), and the ability to perform queries and retrieve data from multiple tables and/or sources.

　　· Significant track record of success with analyzing clinical, claims, pharmacy, program and other administrative data.

　　· Advanced knowledge of health insurance products and industry, including trends and drivers of medical or pharmacy drug utilization, cost, and quality, and application of that knowledge to drive strategic decision making.

　　· Project management experience, a well-developed business sense, the ability to perform in a fast paced environment, and comfort interacting with internal and external senior leaders are critical to success in the role.

　　· Works with minimal direction, initiates projects, and demonstrates significant flexibility to coordinate complex activities that are often subject to rapid or extensive changes.

　　· Ability to lead conceptualization, development and execution of new deliverables and enhancements to existing deliverables.

　　Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

　　A Great Place to Work:

　　We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.

　　Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.

　　On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.

　　Discounts at many places in and around town, just for being a Medical Mutual team member.

　　The opportunity to earn cash rewards for shopping with our customers.

　　Business casual attire, including jeans.

　　Excellent Benefits and Compensation:

　　Employee bonus program.

　　401(k) with company match up to 4% and an additional company contribution.

　　Health Savings Account with a company matching contribution.

　　Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.

　　Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.

　　Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.

　　After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

　　An Investment in You:

　　Career development programs and classes.

　　Mentoring and coaching to help you advance in your career.

　　Tuition reimbursement up to $5,250 per year, the IRS maximum.

　　Diverse, inclusive and welcoming culture with Business Resource Groups.

　　About Medical Mutual:

　　Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

　　There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

　　We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

　　We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

　　Title: Senior Pharmacy Analyst

　　Location: Ohio

　　Requisition ID: 2400048