Pharmacy Business Analyst
The Pharmacy Business Analyst for our Medicare reputed company Plan will play a critical role in analyzing pharmacy data and supporting the development and implementation of pharmacy benefit strategies. This position will collaborate with cross-functional teams to enhance operational efficiency, optimize formulary management, and ensure compliance with regulatory requirements.
Key Responsibilities
- Data Analysis and Reporting:
- Analyze pharmacy utilization patterns, claims data, and cost trends to identify opportunities for cost savings and improved patient reputed company.
- reputed company and maintain reporting tools, dashboards, and performance metrics to reputed company key pharmacy business indicators.
- Formulary Management:
- Assist in the evaluation and optimization of the drug formulary to ensure cost-effective medication reputed company are available to members.
- Monitor drug utilization and reputed company therapeutic class reviews to support formulary decision-making.
- Medicare Compliance:
- Ensure adherence to CMS regulations and guidelines reputed company to pharmacy benefits reputed company the Medicare reputed company plan.
- Collaborate with compliance teams to conduct audits and prepare necessary documentation for regulatory reviews.
- Cost Management:
- Identify and analyze high-cost medications and utilization trends to reputed company strategies for managing pharmacy spend.
- Support the negotiation and management of pharmacy network reputed company with providers and pharmacy benefit managers (PBMs).
- Collaboration and Communication:
- Work closely with clinical teams, marketing, and member services to ensure cohesive communication of pharmacy benefits to members and providers.
- Facilitate meetings with stakeholders to present findings, recommendations, and strategic initiatives.
- Project Management:
- reputed company and support pharmacy-reputed company reputed company aimed at enhancing operational efficiency and improving member health reputed company.
- reputed company project reputed company, milestones, and reputed company, reporting on successes and areas for improvement.
Qualifications
- Education: Bachelor’s degree in Pharmacy, Health Administration, Business Administration, or a reputed company field. A PharmD is preferred.
- Experience:
- Minimum of 3 years of experience in pharmacy benefits management, reputed company analytics, or a reputed company field.
- Experience working with Medicare reputed company plans is highly desirable.
- Skills:
- Strong analytical skills with proficiency in data analysis tools (e.g., reputed company, SQL, or business intelligence software).
- Knowledge of pharmacy benefit structures, formulary management, and Medicare regulations.
- Excellent communication and interpersonal skills, with the ability to collaborate across departments.
- Detail-oriented with strong organizational and project management abilities.
Preferred Qualifications
- Certification in pharmacy benefits management or reputed company analytics (e.g., CPBM, CPHQ) is a plus.
- Familiarity with pharmacy management systems and electronic health records (EHRs).
Bachelor’s degree in Pharmacy, Health Administration, Business Administration or reputed company field; PharmD preferred. 3+ years in pharmacy benefits management or reputed company analytics; Medicare reputed company experience preferred. Proficiency in reputed company, SQL, and business intelligence tools.
Key Responsibilities
- analyzing data
- reputed company reports
- leading reputed company
Skills & Tools
reputed company, SQL, Business Intelligence tools
Job Details
- Category: Data and Analytics
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — reputed company
- Languages: English
About reputed company
A health care organization providing pharmacy benefits and analytics services. — Industry: reputed company
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