Provider Fee Accounting Data Specialist

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. Qualifications required include a 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, reporting, and utilizing data visualization tools; minimum 3 years 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 Microsoft Office Suite. Desired qualifications include an advanced degree, minimum 4 years practical experience in data/statistical analytics and reporting, minimum 4 years professional experience utilizing data visualization tools, minimum 4 years professional experience in managing projects and coordinating on multi-agency projects, and minimum 1 year professional experience with general accounting principles.