Provider Fee Accounting Data Specialist

Compliance Operations

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Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting. You must complete all required portions of the application and attach the required documents in order to be considered for employment.

Job Summary

Initiates, coordinates, and maintains all aspects of the pharmacy provider fee program. Communicates and collaborates with state agencies, pharmacy providers, specific LDH departments, legislators, and advocacy groups. Researches, manipulates, analyzes, and interprets large groups of provider fee data sets for comparison and trend identifications, and prepares reports on findings. Creates policies and procedures around provider fee process, to include fiscal policies and procedures. Performs relative accounting functions as it pertains to reconciliation of quarterly payments and billings. Collaborates with other State agencies to identify best practices and opportunities for improving the claims database. Reviews and interprets statutory language and sets clear standards for determining the requirements for all provider types for submission of provider fees. Coordinates between agencies and relevant stakeholders to identify and utilize a common identifier for pharmacies. Provides education / information to pharmacy providers regarding provider fee requirements. Communicates with the Louisiana Department of Insurance (DOI) regarding non-compliant Pharmacy Benefit Managers (PBMs). Other tasks as directed.

Job Description

Qualifications Required :

• Bachelor's Degree or Associate's degree plus 3 years of professional experience, or 6 years of professional work experience.
• Minimum 3 years professional experience in data / statistical analytics, and reporting.
• Minimum 3 years professional experience utilizing data visualization tools.
• Minimum 3 years of professional experience in managing projects and coordinating on multi-agency projects.
• Excellent analytical, problem-solving, organizational and time management skills.
• Great attention to detail and follow up, and strong verbal / written communications skills.
• Proficient in the use of Microsoft Office Suite (Word, Excel, PowerPoint, Access and Outlook).

Desired :

Required Attachments

Please upload the following documents in the Resume / Cover Letter section.

Applications that do not include the required uploaded documents may not be considered.

Posting Close Date

This position will remain open until filled.

Note to Applicant : Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.

References will be contacted at the appropriate phase of the recruitment process.

This position may require a criminal background check to be conducted on the candidate(s) selected for hire.

As part of the hiring process, applicants for positions at the University of New Orleans may be required to demonstrate the ability to perform job-related tasks.

The University of New Orleans is an Affirmative Action and Equal Employment Opportunity employer. We do not discriminate on the basis of race, gender, color, religion, national origin, disability, sexual orientation, gender identity, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.