Pharmacy Analyst - Community Pharmacy

WVU Medicine•Bensley, VA

5d•Onsite

About The Position

The Community Pharmacy Analyst will support outpatient retail pharmacy operations by developing and maintaining reports, dashboards, and data analyses that drive financial and operational performance. This role is responsible for analyzing prescription volume, reimbursement trends, payor mix, and margin performance across pharmacy locations, while providing actionable insights to leadership. The analyst will design and maintains interactive dashboards (e.g., Excel, Power BI) to track key performance indicators such as volume vs. budget, adherence measures, and reimbursement variability by PBM. This position also plays a critical role in evaluating pharmacy financial performance, including identifying negative reimbursement, clawbacks, and opportunities to improve net margin. In addition, the position will help lead inventory and purchasing analytics efforts to optimize drug acquisition strategies, including identifying lower-cost NDC alternatives and supporting WAC versus 340B decision-making. The role collaborates closely with pharmacy managers and buyers to reduce excess inventory, improve standardization, and respond to drug price changes and shortages. The analyst ensures data integrity across multiple systems, supports reconciliation processes such as ERA/835 analysis, and assists with operational and strategic initiatives including new site launches and program performance improvement. This position requires strong analytical skills, attention to detail, and the ability to translate complex data into clear, actionable recommendations that enhance both financial outcomes and patient care. The primary focus of the position is to support the operational efficiency of the Pharmacy Department by coordinating fiscal management activities, performing data analysis and maintaining departmental statistics and reports. Data base development, project management, cost accounting, and IT skills will be employed to work with clinical pharmacists, residents, medical staff, and pharmacy administration.

Requirements

Bachelor degree in Information Technology, Business Management, Hospital Administration, Accounting, or Finance, or related field and two (2) years of experience in pharmacy or one (1) year of experience with financial reporting.
OR Associates degree in Information Technology, Business Management, Hospital Administration, Accounting, or Finance, or related field and Four (4) years of experience in pharmacy or Three (3) year of experience with financial reporting.
OR High School Diploma and Nationally Certified Pharmacy Technician within 15 months of hire and six (6) years’ experience in a healthcare setting or five (5) years’ experience with financial reporting or data analytics .
Extensive working knowledge of Microsoft Office applications Excel & Access

Nice To Haves

Direct experience in data analysis and/or health care planning background preferred.
Two (2) years of experience in a professional capacity in healthcare, preferably in Pharmacy.

Responsibilities

Assures that billing procedures performed by the department are accurate and timely.
Coordinates with Patient Financial Services to review underpayments or denials.
Routinely reviews medications administered that are included on the transitional pass-through list and assures accurate billing procedures are followed.
Assures charges governed by APC’s are handled correctly.
Facilitates the addition, deletion or correction of charges to the charge master as needed.
Maintains all the HCPCS changes and updates for Chargemaster.
Assures utilization of all available indigent care programs for inpatient and outpatient Administration of medications.
Coordinates with Clinical Specialists to evaluate practice change opportunities that would allow inpatient medication administration to be switched to outpatient medication administration.
Evaluates drug inventory levels and makes recommendations to pharmacy manager.
Monitors purchases for contract compliance and accurate pricing.
Coordinates with Premier (GPO) and Amerisource Bergen to assist with contract compliance and identify savings opportunities that we are not taking advantage of at this time. Relay those items to Pharmacy Manager & Inventory Buyer to implement changes when possible.
Monitors monthly budget variance, identifies significant activity.
Generates a year-end report of budget versus expended dollars based on reconciliation of budget with the general ledger, for each cost center by account.
Compiles data, profiles comparisons and generates reports related to current expenses to serve as the basis for the asking budget.
Provides data to support department performance improvement activities related to drug utilization, purchasing, billing and reimbursement.
Generates pharmacy spend advisor reports on a monthly basis to ensure that we are purchasing pharmaceuticals in the most cost efficient manner. Communicate those opportunities to Pharmacy Manager & Buyers. Follow up to assist with implementation of changes.
Documents expenditure activity by account by cost centers as expenditures are processed and according to accepted accounting practices.
Reconciles department current expenditure documentation with the hospital general ledger and rectifies errors within 30 days.
Identifies irregular spending and system failures related to current expense activity and reports to department Director.
Interacts with hospital purchasing, materials handling and other departments responsively and productively to promote efficient systems interface and problem resolution related to fiscal and clinical management.
Interacts regularly with the department management team and clinical specialists to supply drug usage information, identify irregularities in spending, and provide recommendations for alternative products.
Supports Pharmacy, Nutrition and Therapeutics Committee functions by providing financial data to be used in the drug evaluation process, including opportunities for therapeutic interchange of medications.
Works with department management in the development and implementation of departmental goals and objectives.
Participates in the planning and implementing change and maintaining the improving productivity through attendance and participation in staff meetings, committees, task forces and projects.
Participates in the education of other health-care professionals as it pertains to appropriate use and billing of medications.
Accountable agent for 340B compliance.
Responsible for maintenance and testing of tracking software.
Responsible for documentation of policy and procedures.
Maintain system databases to reflect changes in the drug formulary or product specifications.
Assure appropriate safeguards and system integrity.
Assure compliance with 340B program requirements of qualified patients, drugs, providers, vendors, payers, and locations.
Review and refine 340B cost savings report detailing purchasing and replacement practices, as well as dispensing patterns.
Monitor ordering processes, integrating most current pricing from wholesaler, analyze invoices, shipping, and inventory processes.