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Role Description

EmpiRx Health is seeking a highly skilled and experienced Risk Manager. In this critical role, the Risk Manager plays a key role in supporting and ensuring the achievement of enterprise goals. The Risk Manager works closely with key departments to proactively identify and address any new or potential overlapping financial, clinical, and or client retention risks. The Risk Manager is responsible for tracking the interdepartmental Clinical, Financial, and Client Retention risks, identifying opportunities for alignment, overseeing the execution of strategies, and reporting on performance to leadership stakeholders. The Risk Manager is part of the Business Intelligence and Analytics organization and also participates as an SME for new products and services being deployed.

Key Responsibilities:

• Risk Management & Strategic Projects:
  • Analyze and execute the compilation of, development of, and reporting of strategic project developments that involve interdepartmental risks.
  • Conduct comparative analyses for a client or Book of Business across different time frames and track key statistics for priority clients from several focus areas such as clinical utilization or financial performance.
  • Identify, analyze, and share conclusions based on findings of spend, utilization, and PMPM trends across the Book of Business as well as client level for various audiences (leadership, client-friendly, internal use by teams, etc.).
  • Collaborate with various stakeholders on new and ongoing monitoring, target setting, renewal or product strategies and solutions.
  • Perform ROI analysis, performance monitoring, and identification of enhancements of clinical solutions for external and internal partners.
• Delivery:
  • Proficiently utilize internal and third-party platforms and reporting tools needed (e.g., Databricks, Power BI, DOMO).
  • Effectively utilize project management tools (e.g., Azure DevOps, JIRA, etc.) to communicate and track requests with other internal teammates.
  • Assist with ad-hoc projects that involve the various risk teams.
  • Follow all defined practices, processes, and procedures with inter-departmental teams such as Finance, UW, and Client Experience.
• Relationship Management:
  • Develop and maintain strong relationships with key teams including Care Management, Client Management, and Finance.
  • Handle ad hoc requests from Care Management, Client Experience, and Finance teams.
  • Effectively support fellow peers, as needed.

Qualifications

• Bachelor’s degree
• At least 3 years of PBM experience or at least 4 years of experience in Analytics, Business Intelligence or similar
• Strong data science skills using tools like SQL, R, Python, or SAS
• Advanced analytical skills, with the ability to perform complex analysis and make recommendations based on statistical inferences
• Excellent critical thinking and problem-solving skills
• Ability to work in a fast-paced environment
• Proficient in Microsoft Office Suite
• Excellent time management skills and ability to meet deadlines

Requirements

• Experience with analytics model development and maintenance, report development, troubleshooting, and support
• Proficiency in BI tools such as Power BI or dashboard tools like Tableau, Looker, or Domo
• Excellent oral, writing and presentation skills; able to develop and deliver clear, crisp, and customer-focused messages and presentations to all levels of company team members

Benefits

• Paid Time Off
• 401(k) program
• Health Insurance including Dental & Vision coverage
• Student Loan Reimbursement
• Health Savings Account
• Employee Assistance Program

Company Description

EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results. We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do, and our population health solution delivers tailored strategies for our clients. Leveraging our newly launched, AI-powered pharmacy care platform, Clinically™, EmpiRx Health’s pharmacists and client experience teams provide the highest quality pharmacy care to our clients and their members.