
Insightful Performance Analyst known for high productivity and efficient task completion. Specialize in data analysis, performance metrics interpretation, and process improvement strategies. Excel in problem-solving, communication, and adaptability, making complex information accessible and actionable. Bring focus on enhancing operational efficiency and supporting strategic decision-making through analytical insights.
Experience working with financial reporting and analytics in the PBM segment with the 3 largest PBM’s: CVS/caremark, OptumRX, and Express Scripts.
Handle producing reports such as:
- Effective Rate Performance - how the plan (group/client) is performing to their contract guarantees/rates.
- Pricing Comparison/Pricing Refresh - compares plans current contract rates/rebates to next years and/or a different formulary/maintenance program/network or a different PBM.
- Reverse Reprice - compares the plans prior rates/rebates/fees to what they moved to under RxB to show the value of making the change
- Plan, Member, Formulary, and Pharmacy Network Disruption - provide any savings/increase in cost to the plan with a change. Also provides any negative/positive/neutral member impact.
- Rebate Projections - provides what the plan can expect in rebates with the claims filled thus far based off their contract rebates.
- Copay Modeling - provides any plan savings or cost increase as well as member impact, both positive/negative.
- Maintenance Program Impact - provides any potential savings/increase in cost to the plan as well as member impact.
- Preventative Impact - provides savings/cost increase with a change/add/removal of preventative lists to the plan. Provides member impact as well.
- Assist with clinical programs - impact/savings/disruption from various clinical programs RxB or the PBM’s have to offer.