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Wellcare

Manager, Pharmacy Analytics

Wellcare - Tampa, FL

Manager, Pharmacy Analytics','1800938','!*!About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled. The company serves approximately 4 million members and employs approximately 6,500 people nationwide as of Sept. 30, 2014. For more information about WellCare, please visit our website at www.wellcare.com or view our videos at https://www.youtube.com/user/WellCareHealthPlan.EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, sex, age forty (40) and over, disability, veteran status, or national origin.','!*!Department:  Pharmacy

Reports to:    VP Pharmacy Strategy & Analytics

Location:       4110 George Road Tampa FL 33634

Manages and coordinates activities in support of providing robust pharmacy analytic analysis for financial, operational and regulatory oversight. Responsibilities include routine and ad hoc reporting, interfacing with IT on data related issues and projects, supporting post-merger integration and new business launches, and advancing the state of the art in data management and pharmacy analytics. Essential Functions:

Provides leadership oversight for critical ad hoc reporting across WellCare's entire book of businesses including both Medicare and Medicaid and manages the streamlining and automating of routine reports.

Leads discussions and provides critical input to enterprise stakeholders on data infrastructure issues such as pharmacy claims and network data.

Drives departmental initiatives to eliminate barriers impacting data integration and reporting analytics.

Provides technical subject matter expertise for data integration projects, post-merger integrations, and new business launches.

Oversees and responds to data needs for various audits by CMS, regional markets, and other entities.

Provides leadership to the team on the technical tools in data mining and modeling.

Manages and develops direct reports.

Collaborates with key partners across the enterprise, such as finance, pharmacy, quality and compliance to provide analytical and data leadership and support.

Perform other duties as assigned. Additional Responsibilities:

','!*!Candidate Education:

Required A Bachelor's Degree in a related field with considerable analytic training

Preferred A Master's Degree in a related field Candidate Experience:

Required 5 years of experience in experience in data mining tools and can independently manage & research large scale databases or data environments

Preferred 5 years of experience in working in a pharmacy analytics environment (working for an organization along the pharmaceutical supply chain or value chain such as pharmaceutical company, wholesaler, retail, payer, regulatory and advocacy entities or groups)

Preferred 2 years experience in leading/supervising others Candidate Skills:

Advanced Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions

Intermediate Ability to communicate and make recommendations to upper management

Intermediate Ability to lead/manage others

Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions

Advanced Demonstrated analytical skills

Advanced Demonstrated interpersonal/verbal communication skills

Advanced Demonstrated problem solving skills

Advanced Demonstrated written communication skills

Intermediate Other effective presentation / facilitation skills Licenses and Certifications:A license in one of the following is required:

Acute Care Nurse Practitioner (APRN) (ACNP-BC) Technical Skills:

Required Advanced Microsoft Excel

Required Advanced Microsoft Outlook

Required Advanced Microsoft Project

Required Advanced Microsoft Word

Required Advanced Microsoft Access

Required Advanced MS SQL

Preferred Advanced Statistical Analysis Systems (SAS)

Preferred Advanced Other Tableau Languages:

','US-FL-Tampa','','','','','','','No','No','Manager, Pharmacy Analytics

10 days 15 hours ago

Wellcare

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Manager, Pharmacy Analytics Wellcare - Tampa, FL, United States

   

Location: Tampa, FL

Company Profile:
WellCare Health Plans, Inc. focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. The company served approximately 3.8 million members nationwide as of Sept. 30, 2015. For more information about WellCare, please review our website and view the company’s videos. WellCare has developed a full complement of expertise in three major areas of government-sponsored health care…. Medicaid, Medicare Advantage and Medicare Prescription Drug Plans. Leveraging our expertise for our members' benefit is a key part of the value we bring to our members. WellCare focuses on those members who are dually eligible for both Medicaid and Medicare. This is an area of specialization that many other health plans simply do not have. We are committed to continually improving the quality of care and service that we provide to our members. We help our members access the right care at the right time in the appropriate setting. For some members, this includes the use of coordinated care teams and community partnerships. And we’re focused on government customers and use a disciplined approach to ensure a competitive cost structure.