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Claims Leader

Company: Horizon Therapeutics
Location: Mount Prospect
Posted on: May 26, 2023

Job Description:

At Horizon Therapeutics, we define success by the number of lives touched, lives changed, and lives saved. Our global biotechnology company is made up of agile, out-of-the-box thinkers with a focus on delivering breakthrough medicines to those living with rare, autoimmune, and severe inflammatory diseases. This is the heart of our global mission. Start a career that enables you to live up to your potential and help others live up to theirs. Join us. The exceptional support we provide patients and communities equally extends to our employees. We offer industry-leading and award-winning benefits, compensation and rewards programs that positively impact all areas of our employees' personal and professional lives. Position Summary: The Sr. Manager, Claims & Reimbursement Analytics develops and delivers Payor, Site of Care and Payor Reimbursement reporting and business insights, with a strong focus on the Market Access teams through custom, data-driven analytical projects. This position will be instrumental in the development and ongoing tracking of management level reports, insights generation, and ad hoc requests. Responsibilities: Support cross-brands initiatives to build and implement management level reporting/KPIs tracking. Requires expertise in manipulation of large data sets using software such as Microsoft SQL Server. Utilize various data sources including IQvia OneKey, Komodo, Veeva CRM, IQvia claims and remit datasets, sales, internal patient HUB etc. to identify areas of strength and weakness for various internal teams including market access and patient services teams Partner with data government and data management team to continuing to refine SOC database and ensure it is up-to-date with latest account affiliations Execute payor strategy/KPIs by developing automated reports and generating insights for the Market Access Marketing team Interface with and support the Market Access teams with data requests and insights Create reports and dashboards; KPIs tracking Integrate reimbursement analytics into the broader business discussions Utilize reimbursement claims datasets to inform range of reimbursement across payors and infusion facilities (Site of Care) Qualifications and Skills Required: BA/BS required (Masters preferred in technical or analytical sciences) 5 years in the pharmaceutical industry or in business analytics consulting including experience in Analytics, Strategy, Business Intelligence and/or Sales/Patient/Managed Markets Analytics Demonstrated proficiency in data management and data platforms (such as Microsoft SQL Server), statistical modeling packages (such as SAS, R and/or Python) and general office productivity software (such as Microsoft Office) Experience in at least one of three visualization tools, such as Tableau, PowerBI or Powerpoint ThinkCell Payor medical benefit designs (claims data experience) Demonstrated success developing and presenting solutions to complex business situations leveraging novel recommendations supported with thorough analytics Highly proficient analytical and software skills aimed at data analysis Proficient in the use and interpretation of pharmaceutical data including Veeva, Rx, physician and claims level data sets preferred High degree of independence and exceptional work ethic Excellent written and verbal communication skills Professional, proactive demeanor Strong interpersonal skills Our Values Transparency: We value collaboration. Trusting teach other and tackling tough challenges can make a powerful difference. Accountability: We do what's right for our patient communities through quality decisions and owning our successes and failures. Growth: We fiercely innovate and evolve to better ourselves, our communities and our patients. These three values come to life through our five Leadership Expectations that apply to all Horizon employees Enterprise Mindset: Look beyond one's team, brand or function to see the broader company and external perspective Exhibit Intellectual Curiosity: Seek to understand what you do not know; ask the right questions of the right people and sources Ensure Accountability and Courage: Step up to address difficult issues and hold self and others accountable to commitments Embrace Diverse Perspectives: Welcome others with a respectful attitude; integrate diverse perspectives into ways of working Develop Talent: Provide feedback, coaching and mentorship to help others be more effective in their role At Horizon, we know that disease does not discriminate. We embrace the bold ideas of one another, foster a sense of belonging, and value inclusion. We attract and develop diverse talent because we believe that when people from different backgrounds and life experiences come together, we make lives better. Horizon intends that all qualified applications are given equal opportunity, and that selection decisions be based on job-related factors. We do not discriminate based on race, color, religion, gender, sexual orientation, national origin, age, disability, veteran status, or any other characteristics protected by law.

Keywords: Horizon Therapeutics, Mount Prospect , Claims Leader, Other , Mount Prospect, Illinois

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