Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan.

 

As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

This is a remote position in which we are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin

The Senior Business Analyst provides analytics support to the Pharmacy Department as a primary function. This role acts as a liaison among stakeholders to elicit, analyze, communicate, and validate requirements in supporting pharmacy strategic and operational processes. The analyst understands business problems and opportunities in the context of the requirements and industry trends, recommends, and implements analytical solutions that enable the department achieve its goals. The candidate must have a working knowledge of pharmacy claims data, prescription drug events (PDE), industry drug databases, pharmacy financial data, and formulary data. They should also possess strong system skills including the ability to design and create moderate to complex queries of health care data, including data sets between the Health Plans and its PBM. This role will serve as a subject matter expert on rebate, pharmacy claims, and pharmacy data analytics, and oversee the PBM contract performance from a data perspective. They will also provide support for the Health Plans Clinical Services Division as assigned.