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Inventory Profitability Analyst - Guaynabo, Puerto Rico at Alivia Health

, Puerto Rico, United States -

Full Time

Start Date

Immediate

Expiry Date

06 May, 26

Salary

0.0

Posted On

05 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Analysis, Data Review, Auditing, Revenue Analysis, Profitability Analysis, Data Integrity, Reporting, Process Improvements, Invoice Audits, System Issue Identification, Contract Validation, Reimbursement Validation, Cost Appeals, Excel, PowerPoint, Word

Industry

Health and Human Services

Description

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) * PowerPoint – Basic (Preferred) * Microsoft Word- Basic (Preferred) ***Equal Opportunity Employer M/F/V/D***

Responsibilities

The analyst will perform daily and weekly audits on billed invoices, analyze reports for discrepancies, and validate contracts and reimbursements for PBM claims. Responsibilities also include adjusting revenues based on cost appeals and conducting monthly profitability reviews across all business lines.