Pharmacy Cost Containment Lead
Solliciteren
Plaats
Sint-Jans-Molenbeek1080
Brussel
België
Contract
Vooltijds, Onbepaalde duurDatum gepubliceerd
2026-02-12Online to:
2026-04-13EUR 15.00 HOUR
Pharmacy Cost Containment Lead
- MCS Puerto Rico
- Brussel
- 23 uren geleden
Regular
Exempt
General Description
Responsible for the Pharmacy Department's Financial Activities such as Budget and Savings Initiatives. Develops, analyzes, and evaluates pharmacy savings initiatives and monitors the quarterly savings of these. Ensure accurate budget development and performance oversight. Translates needs and requirements of the operational and clinical area into reports modeling and integrating data from various sources. These responsibilities are tied to all the company lines of business Financial Activities.
Essential Functions
Lead and support EMMs initiatives activities by establishing schedules, milestones, resources, issues, and scope. Ensure that all projects are well-scoped, well-documented, and completed on time. Also, regularly informs executive sponsors and key stakeholders of the project's status.
Will meet directly with providers and/or participate in committees or work sessions to collect the requirements and needs of the EMM initiatives, this to serve as a technical expert in the pharmacy area to develop and agree on the final report solution. that supports effective EMM's Initiatives savings calculation.
Collaborate with key stakeholders to identify project gaps, barriers, and opportunities for improvement.
Develop and implement issues resolution and enhancements that are aligned with the pharmacy department's financial objectives. Resolve issues before health plan performance results are impacted.
Participates in high-impact corporate projects for the company in which it must collect requirements, define, and create the solution that facilitates the monitoring of performance metrics. This solution should facilitate the performance of the necessary analyses to be presented to the clinical or operational area.
Understand and perform savings projections analysis and monitoring.
Document for each EMM Initiative a sum of the summary of the savings projections calculation logic and supporting report.
Works with Finance, Actuarial, and other related departments in the preparation of the departmental budget. Assists finance by providing analysis of drug utilization and cost trends. It is the link between the PBM and Finance in the request of the reports used so that the Budget can be calculated.
Identifies patterns and/or trends of financial impact related to drug costs and presents them in a monthly meeting with pharmacists so that they can identify which drugs can affect the positive or negative variances of the budget.
Interprets and analyzes utilization reports that reflect financial impact trends, to support senior management in decision-making; makes recommendations in this regard.
Ensures that a gap analysis to identify drivers for budget variances is performed and performs analysis that supports the driver's identification. Develop with the clinical area initiatives to close variances and monitor the effectiveness of the initiatives.
Perform PBM Financial Guarantees oversight. Ensures that a gap analysis to identify drivers for identified variances is performed. Perform analysis that supports the driver's identification. Develop with the PBM initiatives to close variances and monitor the effectiveness of the initiatives.
Perform MAC Pricing Process Oversight. Ensures that a gap analysis to identify drivers for identified variances is performed. Perform analysis that supports the driver's identification. Develop with the PBM initiatives to close variances and monitor the effectiveness of the initiatives.
Conduct thorough review and validation of invoices received from vendors and ensure accuracy and adherence to contractual agreements and pricing structures. Identify and resolve any discrepancies or billing errors promptly, collaborating with relevant stakeholders to rectify issues and prevent future occurrences.
Develop and/or create reports integrating several databases. Analyze, identify, and present patterns and/or trends of financial impact to make projections that serve senior management in decision-making.
Collaborate with key stakeholders to identify gaps, barriers, and opportunities for improvement, also develop and implement enhancements that are aligned with the pharmacy's program objectives.
Identify and report significant issues and underlying problems, accompanied by proposed solutions, promptly to leadership. Also, resolving issues before health plan performance results are impacted.
Prepare and deliver presentation materials for management level, internal or external users.
Perform Financial Analysis, tracking and trends.
Collaborates with cross-functional teams to ensure compliance and quality requirements are met as per local and federal laws and regulations and other agencies.
Participates and collaborates with internal and external audits, in the division's processes automation, corporate and departmental initiatives, and other similar tasks.
Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.
Minimum Qualifications
Education and experience: Bachelor's Degree in Business Administration, Pharmacy, Science, Public Health, or related areas. At least five (5) years of experience in similar functions in pharmacy practice, healthcare administration, finance, data management, and analysis, preferably in the Healthcare Industry.
\"Proven experience may be replaced by previously established requirements.\"
Certifications / Licenses: N/A
Other: Intermediate to advanced knowledge of Excel is required, and Power BI knowledge is preferred. Knowledge in analyzing and managing tables and data.
Languages:
Spanish – Advanced (writing, conversational, comprehension, and reading)
English – Advanced (writing, conversational, comprehension, and reading)
\"MCS Healthcare Holdings, LLC. (MCS) is an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities. MCS is a participating E-Verify employer.\"
Nivel de antigüedad
Intermedio
Tipo de empleo
Jornada completa
Función laboral
Atención médica
Sectores
Seguros
Exempt
General Description
Responsible for the Pharmacy Department's Financial Activities such as Budget and Savings Initiatives. Develops, analyzes, and evaluates pharmacy savings initiatives and monitors the quarterly savings of these. Ensure accurate budget development and performance oversight. Translates needs and requirements of the operational and clinical area into reports modeling and integrating data from various sources. These responsibilities are tied to all the company lines of business Financial Activities.
Essential Functions
Lead and support EMMs initiatives activities by establishing schedules, milestones, resources, issues, and scope. Ensure that all projects are well-scoped, well-documented, and completed on time. Also, regularly informs executive sponsors and key stakeholders of the project's status.
Will meet directly with providers and/or participate in committees or work sessions to collect the requirements and needs of the EMM initiatives, this to serve as a technical expert in the pharmacy area to develop and agree on the final report solution. that supports effective EMM's Initiatives savings calculation.
Collaborate with key stakeholders to identify project gaps, barriers, and opportunities for improvement.
Develop and implement issues resolution and enhancements that are aligned with the pharmacy department's financial objectives. Resolve issues before health plan performance results are impacted.
Participates in high-impact corporate projects for the company in which it must collect requirements, define, and create the solution that facilitates the monitoring of performance metrics. This solution should facilitate the performance of the necessary analyses to be presented to the clinical or operational area.
Understand and perform savings projections analysis and monitoring.
Document for each EMM Initiative a sum of the summary of the savings projections calculation logic and supporting report.
Works with Finance, Actuarial, and other related departments in the preparation of the departmental budget. Assists finance by providing analysis of drug utilization and cost trends. It is the link between the PBM and Finance in the request of the reports used so that the Budget can be calculated.
Identifies patterns and/or trends of financial impact related to drug costs and presents them in a monthly meeting with pharmacists so that they can identify which drugs can affect the positive or negative variances of the budget.
Interprets and analyzes utilization reports that reflect financial impact trends, to support senior management in decision-making; makes recommendations in this regard.
Ensures that a gap analysis to identify drivers for budget variances is performed and performs analysis that supports the driver's identification. Develop with the clinical area initiatives to close variances and monitor the effectiveness of the initiatives.
Perform PBM Financial Guarantees oversight. Ensures that a gap analysis to identify drivers for identified variances is performed. Perform analysis that supports the driver's identification. Develop with the PBM initiatives to close variances and monitor the effectiveness of the initiatives.
Perform MAC Pricing Process Oversight. Ensures that a gap analysis to identify drivers for identified variances is performed. Perform analysis that supports the driver's identification. Develop with the PBM initiatives to close variances and monitor the effectiveness of the initiatives.
Conduct thorough review and validation of invoices received from vendors and ensure accuracy and adherence to contractual agreements and pricing structures. Identify and resolve any discrepancies or billing errors promptly, collaborating with relevant stakeholders to rectify issues and prevent future occurrences.
Develop and/or create reports integrating several databases. Analyze, identify, and present patterns and/or trends of financial impact to make projections that serve senior management in decision-making.
Collaborate with key stakeholders to identify gaps, barriers, and opportunities for improvement, also develop and implement enhancements that are aligned with the pharmacy's program objectives.
Identify and report significant issues and underlying problems, accompanied by proposed solutions, promptly to leadership. Also, resolving issues before health plan performance results are impacted.
Prepare and deliver presentation materials for management level, internal or external users.
Perform Financial Analysis, tracking and trends.
Collaborates with cross-functional teams to ensure compliance and quality requirements are met as per local and federal laws and regulations and other agencies.
Participates and collaborates with internal and external audits, in the division's processes automation, corporate and departmental initiatives, and other similar tasks.
Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.
Minimum Qualifications
Education and experience: Bachelor's Degree in Business Administration, Pharmacy, Science, Public Health, or related areas. At least five (5) years of experience in similar functions in pharmacy practice, healthcare administration, finance, data management, and analysis, preferably in the Healthcare Industry.
\"Proven experience may be replaced by previously established requirements.\"
Certifications / Licenses: N/A
Other: Intermediate to advanced knowledge of Excel is required, and Power BI knowledge is preferred. Knowledge in analyzing and managing tables and data.
Languages:
Spanish – Advanced (writing, conversational, comprehension, and reading)
English – Advanced (writing, conversational, comprehension, and reading)
\"MCS Healthcare Holdings, LLC. (MCS) is an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities. MCS is a participating E-Verify employer.\"
Nivel de antigüedad
Intermedio
Tipo de empleo
Jornada completa
Función laboral
Atención médica
Sectores
Seguros
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