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REVENUE & PROFITABILITY ANALYST

Alivia Health

Job Description

Job Description

Location: Guaynabo, P uerto Rico 

El Revenue & Profitability Analyst es responsable del análisis y la revisión de datos, así como de auditar la correcta introducción de datos en el software de la farmacia, dentro de la organización. El analista de ingresos y rentabilidad evaluará la idoneidad de la supervisión constante de la introducción de datos y garantizará la calidad e integridad de los mismos. El analista de ingresos y rentabilidad trabajará con todos los jefes de departamento y la alta dirección, y será un activo clave para aumentar la eficiencia operativa y mejorar los procesos mediante el análisis de datos y la elaboración 

Responsabilidades:

  • Analizar diariamente los informes actuales en busca de discrepancias o errores e informar a los respectivos jefes de departamento para que los corrijan según sea necesario.
  • Validar los contratos y los reembolsos pagados en las reclamaciones de los principales pagadores de PBM e informar a los respectivos jefes de departamento para que los corrijan según sea necesario.
  • Ajustar los ingresos de los programas actuales de Alivia para cualquier caso aprobado en las apelaciones de costes.
  • Completar la revisión mensual del cierre de fin de mes, asegurándose de que todos los elementos se hayan limpiado o remitido correctamente, respectivamente.
  • Revisar y analizar la rentabilidad de todas las líneas de negocio de Alivia Health.
  • Presentar los resultados mensuales de rentabilidad a la alta dirección. 
  • Realizar auditorías diarias y semanales de las facturas emitidas, posibles problemas del sistema, duplicados o datos incorrectos introducidos.

Requisitos:

  • NCPDP y facturación de reclamaciones médicas: experiencia (1 año)
  • Excel: básico (requerido)

***Equal Opportunity Employer M/F/V/D***

Vacancy posted 2 days ago
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