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Sr. Commercial Business Operations Analyst

Company: Prometheus Laboratories Inc.
Location: San Diego
Posted on: January 26, 2023

Job Description:

SITUATIONPrometheus Laboratories is a forward-thinking clinical diagnosticscompany that is dedicated to disrupting the treatment paradigm of GI and autoimmune diseases. We do this by discovering and developing a broad portfolio of novel, precision-based diagnostic testing solutions that meaningfully impact patient care throughout their individual healthcare journey. From patient-personalized diagnosis and prognosis, disease profiling, therapeutic selection through disease monitoring, the Prometheus suite of tests is purpose-built to take the guess work out of critical patient care needs. Our ambition is to expand our team with like-minded leaders with shared passion and dedication for transforming the future of precision-guided patient care.SUMMARYServes as commercial analyst for Prometheus Labs commercial operations group. Performs commercial data analysis, systems development and maintenance, administers contracts, and ensures consistent use of internal processes through audits and training. This is a high profile role that has access and responsibilities throughout the commercial organization.ESSENTIAL DUTIES AND RESPONSIBILITIES include, but not limited to the following. Other duties may be assigned.

  • Works with key stakeholders to prepare, process, analyze, and share data to drive meaningful action towards achieving company goals
  • Manages client account configuration across LIMS and billing systems, including account creation and pricing configuration
  • Serves as Salesforce administrator for company; plans, builds, tests, and deploys solutions to meet business objectives. Works in collaboration with IS and external vendors to improve and maintain company's use of Salesforce
  • Generates and distributes weekly reporting packages to sales leadership
  • Compiles weekly and quarterly business review reports for the field sales organization
  • Assists management in developing and producing commercial KPIs
  • Plays integral role in determining marketing analytics and providing ad hoc data analysis as requested by management team
  • Assists with drafting of contract paperwork, including amendments for Laboratory Pricing Agreements and Specimen Handling Agreements. Works closely with legal team and department leadership to review and redline contract language.
  • Maintains filing system for contracts and tracks data associated with subsequent changes
  • Responsible for review of contracts for termination dates, outdated CPT codes etc. at a minimum of an annual basis and reporting findings to Market Access team
  • Assists with the review, preparation and tracking of credentialing applications and documentation required by government agencies such as CMS, state Medicaid programs, commercial payors and direct bill clients
  • Assists with gathering, compiling, validating, and analyzing data needed by members of the organization used to understand current claims adjudication trends
  • Assists with the set up and audit of tables and contacts in applicable systems
  • Troubleshoots pricing issues to ensure clients are billed correctly,
  • Provides assistance and training to the applicable teams to support QA activities and ensure consistency across programs
  • Assists the IS QA team in evaluating the implementation status of recommendations for corrective actions from comprehensive evaluations and focused reviews
  • Performs user acceptance testing as needed
  • Conducts analysis as needed by commercial operations leadership
  • Assists with special projects as requiredSUPERVISORY RESPONSIBILITIESThis job has no supervisory responsibilities yet serves as a commercial business partner.QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.EDUCATION and/or EXPERIENCEPosition generally requires a Bachelors degree or equivalent work experience, and at least 3 years of related experience in sales operations or commercial analytics. Working knowledge of accessing Medical Coding (CPT & Diagnostic Codes) and HIPAA rules and regulations required and excellent knowledge of medical terminology required. Proficiency in Excel, power BI, Word and required. Must have strong organizational and analytical skills with the ability to problem solve in a rapidly changing environment. Laboratory or related healthcare industry experience preferred. LANGUAGE SKILLSMust be fluent in both verbal and written English. Must have the ability to speak effectively in order to provide information and respond to questions from managers, employees, and other individuals. Ability to effectively present information in one-on-one and small group situations with other employees of the organization. MATHEMATICAL SKILLSMust possess excellent analytical skills and perform mathematical calculations. Ability to balance and reconcile large figures quickly and accurately using units of American currency.REASONING ABILITYAbility to recognize problems, collect relative data, establish facts, draw valid conclusions and take appropriate action under general supervision. Ability to understand and appreciate HIPAA rules and regulations regarding patient privacy.CERTIFICATES, LICENSES, REGISTRATIONSNone requiredPHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to sit for extended periods of time in front of a computer monitor. The employee is required to use headphones for extended periods of time while handling phone calls while also performing extensive data entry and utilization of a calculator and 10-key. The employee frequently is required to use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.WORK ENVIRONMENTThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The noise level in the work environment is usually quiet.

Keywords: Prometheus Laboratories Inc., San Diego , Sr. Commercial Business Operations Analyst, Professions , San Diego, California

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