Revenue & Profitability Analyst

Job Description

Job Description

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***