The purpose of the Analyst role is to support a variety of services provided by the GCPS team to multiple clients. Duties may include data management, system utilization, report generation, variance analyses, client interaction, and documentation. Additional responsibilities will vary based on client assignments, but may include:
- Identifying, analyzing, and solving data or process problems, creating operational reports and supporting dispute reconciliation and adjustments.
- Understanding commercial and government pharmaceutical contracts, government regulations, and key business issues; facilitating responses to non-routine situations and events; and consulting with managers and key stakeholders to make well-informed decisions.
- Assisting in managing ongoing client relationships including interfacing with clients to resolve specific issues, responding to analysis and report requests, and participating in client business reviews including preparation and presentation of materials.
- Confirming periodic calculations requirements are met within mandated timelines
- Confirming the accuracy of results based on the analysis associated with customer data and support ongoing internal software product testing.
- Providing support for special projects such as regulation research, system enhancements, process changes, SOC audits, system testing, data integrations, and new client onboarding.
- Evaluating claim eligibility, analyzing data, and applying calculations based on applicable program requirements, as well as performing variance and trend analysis on calculation results.
- Responding to client inquiries regarding submission status, reconciliation and/or data discrepancies, payment status, and dispute resolutions.
As the regulatory landscape continues to shift and grow in complexity, companies are facing unprecedented compliance challenges and close regulatory scrutiny. Deloitte GCPS provides solutions in health care compliance, risk and technology-driven managed services. Helping clients manage their financial, operational, and reputation risk enables them to focus on what matters most - the patient, innovation, and the greater health care marketplace.