Rachel Jurczyszyn, PAHM
Senior Pricing Analyst at Maxor National Pharmacy Services, LLC- Claim this Profile
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Bio
Credentials
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Tables, Fields, & Entries
SkillsoftNov, 2022- Sep, 2024 -
OneNote 2016 Essential Training
LinkedIn Learning ⋅ Course CertificateJan, 2021- Sep, 2024 -
Six Sigma: Green Belt
Lynda.comSep, 2018- Sep, 2024 -
Statistics Foundations: 1
Lynda.comSep, 2018- Sep, 2024 -
Access 2013 Essential Training
Lynda.comMar, 2018- Sep, 2024 -
Lean Six Sigma Foundations
Lynda.comMar, 2018- Sep, 2024 -
Professional, Academy for Healthcare Management
America's Health Insurance Plans (AHIP)Apr, 2017- Sep, 2024
Experience
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Maxor National Pharmacy Services, LLC
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United States
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Hospitals and Health Care
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300 - 400 Employee
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Senior Pricing Analyst
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Nov 2022 - Present
Underwrites Rx network and rebate guarantees for PBM RFPs. Presents and negotiates pricing strategy with executive and C-suite leadership weekly. Develops pricing model template improvements in Excel, with focus on streamlining underwriting process. Manages multiple project timelines with internal stakeholders to ensure timely delivery of RFPs. Underwrites Rx network and rebate guarantees for PBM RFPs. Presents and negotiates pricing strategy with executive and C-suite leadership weekly. Develops pricing model template improvements in Excel, with focus on streamlining underwriting process. Manages multiple project timelines with internal stakeholders to ensure timely delivery of RFPs.
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Marsh McLennan Agency
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United States
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Insurance
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1 - 100 Employee
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Plan Analyst
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Dec 2019 - Aug 2022
• Developed DE&I reporting packages to meet client needs alongside practice leaders. • Edited, tracked, and reviewed RFPs for medical/Rx, dental, vision, life, and ancillary products for multiple clients. • Managed multiple timelines for RFP processes and client presentations. • Negotiated group insurance rates using plan performance metrics and geographic trends factors. • Underwrote self-funded health policies and provided PEPM premium and utilization projections. • Effectively communicated reporting results to clients and answered claim, utilization, and invoice questions. • Programmed new, repeat reporting deliverables in Microsoft Excel to meet client needs. • Created annual renewal presentations and assisted VPs during face-to-face and virtual client meetings. • Proud winner of 2022 company picnic whipped cream/bubblegum competition. • Served on departmental social committee. Show less
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MeridianRx
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Financial Analyst
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Sep 2017 - Dec 2019
• Developed ad hoc reports using Microsoft Excel, Oracle BI, and Tableau • Programed templates for use on recurring reports • Compiled, analyzed, and interpreted pharmacy utilization data • Parsed complex client requests into manageable components • Trained new analysts to use Microsoft Excel and other software effectively • Performed weekly and biweekly pharmacy claims invoice validation and reconciliation • Developed ad hoc reports using Microsoft Excel, Oracle BI, and Tableau • Programed templates for use on recurring reports • Compiled, analyzed, and interpreted pharmacy utilization data • Parsed complex client requests into manageable components • Trained new analysts to use Microsoft Excel and other software effectively • Performed weekly and biweekly pharmacy claims invoice validation and reconciliation
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Meridian Health Plan
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Member Benefit Coordinator
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Apr 2016 - Sep 2017
• Achieved AHIP's PAHM certification. • Conducted inbound/outbound contact with members in a professional manner. • Educated members and providers on benefits, rights, responsibilities, etc. • Performed accurate data entry into Meridian’s member database. • Scheduled appointments as necessary. • Complied with all HIPAA regulations. • Achieved AHIP's PAHM certification. • Conducted inbound/outbound contact with members in a professional manner. • Educated members and providers on benefits, rights, responsibilities, etc. • Performed accurate data entry into Meridian’s member database. • Scheduled appointments as necessary. • Complied with all HIPAA regulations.
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Grand Valley State University
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United States
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Higher Education
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700 & Above Employee
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Women's Club Lacrosse Assistant Coach
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Aug 2015 - Dec 2015
• Scheduled practices and interseasonal conditioning sessions with team via social media.• Organized and ran conditioning sessions.• Set seasonal goals with individual players and as a team.• Trained goaltender during practices and one-on-one sessions.• Coordinated defensive line shifting during games.• Brought the fire
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Research Assistant
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May 2014 - Dec 2015
• Guided participants through 24-hour recalls and nutrition-focused surveys• Used a database to efficiently record information from 24-hour recalls• Manually measured height, weight, and waist circumference of participants• Reviewed current research articles pertaining to area of study• Brainstormed updates to project website
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Advantage Research Services, Inc.
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United States
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Market Research
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1 - 100 Employee
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Qualitative Data Collector (Assistant Supervisor), Hostess
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Apr 2015 - Dec 2015
• Interviewed and screened respondents for focus groups. • Accurately recorded screening responses in full verbatim and clean verbatim. • Trained new coworkers on screening and recording techniques. • Clarified communications between supervisor and coworkers. • Emailed and mailed maps and letters of invitation to qualifying respondents. • Updated recording software and trained coworkers to work with new program. • Corresponded with clients to create environment for successful focus groups. • Troubleshot computer issues. • Administered compensation to respondents upon completion of focus groups. Show less
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Fox Creek Golf Course
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United States
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Spectator Sports
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1 - 100 Employee
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Maintenance
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Apr 2013 - Aug 2014
• Operated a variety of machines to cut greens, tees, fairways, and rough. • Tended gardens and new sod. • Raked, weeded, and performed maintenance on bunkers. • Mixed and administered herbicides. • Performed some landscaping. • Operated a variety of machines to cut greens, tees, fairways, and rough. • Tended gardens and new sod. • Raked, weeded, and performed maintenance on bunkers. • Mixed and administered herbicides. • Performed some landscaping.
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Goaltender Coach
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Apr 2014 - Jul 2014
• Coached with both Northville High School Women's Lacrosse (Varsity and JV) and Westside Women's Lacrosse. • Guided goalies through conditioning and skill-building drills. • Identified areas of improvement for individual goalies' skillsets. • Mentored goalies during practices to improve their form and confidence in the net. • Coached with both Northville High School Women's Lacrosse (Varsity and JV) and Westside Women's Lacrosse. • Guided goalies through conditioning and skill-building drills. • Identified areas of improvement for individual goalies' skillsets. • Mentored goalies during practices to improve their form and confidence in the net.
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Education
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2011 - 2015
Grand Valley State University
Bachelor’s Degree, Biomedical Sciences (Nutrition), Minor in Applied Statistics
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