Prescription Drug Event Analyst

Position: Prescription Drug Event Analyst I
### Exemption Status:

United States of America (Non-Exempt)### $22.24 - $28.90 - $35.57“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”This

position is not eligible for Sponsorship.

Med Impact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

At Med Impact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry.

We are the premier Pharmacy Benefits Management solution!#
** Job Description
**** Summary
* * The Prescription Drug Event Analyst I is responsible for the prompt analysis, calculation, reconciliation, and validation of the Medicare Prescription Drug Event (PDE) files for Med Impact customers.  This position serves as a subject matter expert for Medicare prescription drug adjudication data and interfaces with Med Impact customers and internal staff to ensure timely and accurate PDE file submissions.  Position requires technically complex analysis and a high degree of accuracy, carrying with it significant consequence of error for the organization and Med Impact customers.
** Essential Duties and Responsibilities
** include the following. Other duties may be assigned.
* Analyzes and reconciles PDE entries rejected by CMS, including adjustments related to eligibility, TrOOP, cost sharing, gap discounts and LICS status.  Identifies gaps in the benefit and formulary design structure and ensures prompt resolution of all setup issues that impact claims adjudication.
* Defines and documents requirements for technical specifications, data requirements, and procedures to support all components of Medicare claims data analysis, reconciliation, and validation
* Utilizes multiple company databases to obtain, record, and analyze complex claim information;
* Performs calculations, completes quality control and testing, and ensures appropriate updates and adjustments of the data prior to submission to customers. Maintains current understanding of customers' Medicare Part D coverage and benefit plans in order to accurately analyze and prepare Medicare claims data for transmission to customers.
* Recommends improvement in workflow processes by suggesting procedural enhancements supporting timely and accurate PDE submissions. Ensures continuous improvement of Medicare claims data through root cause analysis of errors, recommendations for systems and procedure enhancements, and education and training as appropriate.
* Responsible for the establishment and maintenance positive working relationship with both internal and external customers. Participates customer conference calls as the subject matter expert presenting and clarifying Medicare Part D claims data. This role provides sustainable, measurable, accurate, reliable and timely PDE data processes.
* Active, continual partnership engagement via email, meetings and instant messaging with IT, providing input on data extraction requirements, reporting formats and file layouts.
** Supervisory Responsibilities
** No supervisory responsibilities                                   
** Client Responsibilities
** This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; manage difficult or emotional client situations;
Respond promptly to client needs;
Solicit client feedback to improve service;
Respond to requests for service and assistance from clients;
Meet commitments to clients.
** Qualifications
* * To perform this…