REVENUE & PROFITABILITY ANALYST

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***