We offer a challenging and rewarding career opportunity in a high energy, fast paced environment. The importance of time management, organizational skills, attention to detail and teamwork cannot be overstated. Salary range is competitive and is commensurate with experience. Compensation package will also include a performance bonus program. Full range of benefits offered including 401k plan, paid vacation and generous holiday schedule.

If interested, please send resume and cover letter with salary requirements to Patty Kanaras at pkanaras@rdsservices.us

 

Account Manager/Data Analyst

Title:

RDS Program Account Coordinator

Employee Type:

Perm

Division:

RDS Services

Manages:

None

Reports To:

RDS Program Manager

Purpose of Role

The RDS (Retiree Drug Subsidy Program) Account Manager/Data Analyst should possess strong analytical skills, quantitative and problem-solving abilities and a thorough knowledge of all time-sensitive tasks related to the Retiree Drug Subsidy (RDS) program. This position will require excellent communication skills and the ability to work both independently and collaboratively with data systems team members, vendors and clients. Their additional responsibility is to also serve as the liaison between their RDS clients and vendors. The Account Manager/Data Analyst will work on all time-sensitive tasks related to the RDS program, and understands all aspects relating to the RDS website and RDS database.

We are looking for a candidate who has strong administrative skills, multi-task abilities, proficiency in excel. This person must be an expert in time-management, possess strong customer service skills, can create good relationships with clients and vendors, and interaction with the entire RDS team to accomplish the goals of the company

 

Duties

  •  Work with Program Manager/Account Managers to Assess Data Requirements
  • Work with Program Manager/Account Manager during New Client Start-up, RDS Re-Opening Opportunities, RDS Administration and RDS Reconciliations
  • Attend meetings as needed with RDS Program Manager, Database Programmers and Program Analysts to discuss data issues, database application, RDS changes and updates, client deadlines, etc.
  • Analyze complex data systems and document data elements, data flow, relationships and dependencies
  • Requesting of pertinent RDS Reopening membership and claims data from the assigned vendors
  • Verifying whether data from the vendors is both substantial enough and suitable for importing into the internal company database
  • Communicating to the Data Analysts when data is ready for review and maintaining a workflow schedule for follow ups when needed
  • Develop automated and reusable routines for extracting requested information from database
  • Compile detailed reports using data reporting tools such as Excel
  • Work with Program Developers and Management providing input regarding company data standards and practices
  • Work in partnership with Program Manager and Database Developers to build data transactional and warehouse systems
  • Assist with data aggregation projects and application development activities
  • Responsible for prescription and medical claims data integrity, data scrubbing, and ad hoc reporting
  • Analyze and Audit data for quality assurance
  • Facilitate communications with RDS team members
  • Quality control inspection of data and working with a data dictionary
  • Maintain knowledge of RDS policies and procedures
  • Rely upon experience/judgment, in conjunction with applying data Excel/SQL procedures, to solve problems
  • Manage ongoing administration of the RDS program
  • Obtain retiree information from clients, prepare via RDS database, and upload to CMS as needed
  • Upload response, weekly notification, and part D notifications into RDS database
  • Identify and resolve subsidy issues and other administration issues as needed
  • Understand and interpret “Reason Codes”, and give guidance to clients on communicating to Medicare eligible retirees
  • Coordinate and complete client applications 90 days prior to each new plan year. Request 30-day extension if necessary
  • Coordinate and complete client reconciliations prior to 15 months after an application plan year
  • Assist in the review of claims data received by carriers (PBMs), make corrections, and submit to CMS for subsidy payment
  • Communicate important RDS program notifications to clients and complete or assist in updating RDS website as needed

Skills

  • Strong proficiency in data analysis, manipulation, and ad hoc data analysis reporting Import and export data for analysis
  • Knowledge of relational database architecture Open Database Connectivity (ODBC)
  • Data analysis and interpretation Data manipulation through queries Data mining
  • Data specification documentation
  • Ability to measure data quality and integrity Possess strong analytical and communications skills Detail-oriented with the ability to multi-task Actuarial and Math/Studies are a strong plus
  • Systems Skills: (Novice, Proficient, Expert, Master)
  • MS Access: Proficient
  • MS Excel: Expert
  • MS SQL Server Management Studio (SQL Programming): Proficient MS Word: Proficient

Educational / Experience Requirements

  •  2+ years as data analyst , preferred
  • Medicalbilling, PBM or pharmacybackground a plus
  • Bachelor’s degree in computer science or information systems, required

Company Background/Products

We are a “data aggregation” company with expertise in managing CMS’s Retiree Drug Subsidy

(“RDS”) for employer groups. We are looking to enhance our team by hiring an experienced data analyst, preferably with a pharmacy or medical billing background, to leverage our existing core competencies and expand our market share in this market segment. Our data aggregation application allows us to explore various RDS servicing opportunities. This includes opportunities under CMS re-opening provisions that enable us to audit prior year applications and potentially secure additional subsidy dollars for clients under the RDS program.

We are seeking an energetic, experienced and motivated Data/ Procurement Analyst as we continue forward with the administration of the RDS program in addition to the development and implementation of any other potential subsidy reimbursement opportunities. 

RDS Data Analyst

Title:

RDS Data Analyst

Employee Type:

Part-Time
20-30 hr/Week

Division:

RDS Services

Manages:

None

Reports To:

RDS Program Manager

Purpose of Role

The RDS (Retiree Drug Subsidy Program) Data Analyst should possess strong analytical skills, quantitative and problem-solving abilities and a thorough knowledge of relational database theory and practice. This position will require excellent communication skills and the ability to work both independently and collaboratively with data systems team. The Data Analyst will be responsible for the overall integrity of the claim and member data received from vendors and clients and housed in our company database. The RDS Data Analyst works directly with RDS Program Manager.

Key Responsibilities

Business Development 20%

  • Work with Program Manager to Assess Data Requirements -New Client Opportunities
  • Work with Program Manager during New Client Start-up-  Re-Opening Opportunities
  • Attend weekly meetings with RDS Program Manager, Database Programmers and Program Analysts to discuss data issues, database application changes and updates, client deadlines, etc.

Delivery 80%

Typical Duties

  • Analyze complex data systems and document data elements, data flow, relationships  and dependencies
  • Develop automated and reusable routines for extracting requested information from database
  • Compile detailed reports using data reporting tools such as Excel
  • Work with Program Developers and Management providing input regarding company data standards and practices
  • Work in partnership with Program Manager and Database Developers to build data transactional and warehouse systems
  • Assist with data aggregation projects and application development activities
  • Responsible for prescription and medical claims data integrity, data scrubbing, and ad hoc reporting
  • Analyze and Audit data to for quality assurance
  • Facilitate communications with core group

 Educational / Experience Requirements

  • 1+ years as data analyst , preferred
  • Medical billing, PBM or pharmacy background a plus
  • Bachelor’s degree in computer science or information systems, required

 Company Background/Products

 We are a “data aggregation” company with expertise in managing CMS’s Retiree Drug Subsidy (“RDS”) for employer groups. We are looking to enhance our team by hiring an experienced data analyst, preferably with a pharmacy or medical billing background, to leverage our existing core competencies and expand our market share in this market segment. Our data aggregation application allows us to explore various RDS servicing opportunities. This includes opportunities under CMS re-opening provisions that enable us to audit prior year applications and potentially secure additional subsidy dollars for clients under the RDS program.

We are seeking an energetic, experienced and motivated Data Analyst as we continue forward with the administration of the RDS program in addition to the development and implementation of any other potential subsidy reimbursement opportunities.