Pharmacy Analyst - Remote/Hybrid

Highmark Health • Washington, DC

2d • Hybrid

About The Position

This role operates in a hybrid model (T,W,TH) for employees residing within 50 miles of the corporate office. The Pharmacy Analyst will work with Pharmacy Markets business owners, stakeholders, and other management to achieve Pharmacy Markets growth objectives. This involves organizing and coordinating Pharmacy Markets activities to focus on the successful delivery of desired results, monitoring and evaluating progress, status, and alignment of activities, and performing corrective actions as needed. The role requires regular and effective communication with customers regarding issues or concerns. Depending on the business unit, responsibilities may include performing research, managing projects of various sizes, analyzing data to identify business problems, trends, or opportunities for process improvements, and identifying needs for new Pharmacy products. The analyst will also partner with business units to ensure compliance with guidelines, regulations, and policies, monitor regulatory changes, and provide consultation and analytic support. This includes translating business needs into requirements, functional designs, and system specifications, and analyzing change requests for existing applications.

Requirements

• High school diploma / GED
• Healthcare experience
• Project Management experience
• Advanced experience with MS Office.
• Experience in performing group/meeting presentations to technical/non-technical and customer audiences.
• Strong critical thinking skills.
• Ability to identify and assess patterns, trends, root causes, develop explanations and test solutions.
• Ability to identify and assess problems and solutions, refer to applicable policies, identify options, and recommend appropriate courses of action.
• Excellent verbal and written communication skills.

Nice To Haves

• Bachelor's Degree
• Project Management
• Six-Sigma

Responsibilities

• Implement product/program designs and ensure quality standards, financial performance, and regulations are met.
• Develop and establish standardized processes and effective measurement, evaluation and improvement methods.
• Implement interventions that result in continuous measurable improvements.
• Work collaboratively with business owners to identify areas where improvements are needed and to develop and monitor appropriate action plans to ensure a consistent focus on priority issues.
• Analyze data processes, business processes, and interfaces to support multiple areas which will include program (and/or vendor) oversight, using appropriate measurement processes and potential audits.
• Gather and analyze information, designs and test solutions to problems and formulates plans.
• Make decisions that refine and improve known practices or develops new approaches.
• Work with multidisciplinary teams within Pharmacy Markets, other Highmark departments, and external vendors to ensure program effectiveness and general project management.
• Make independent contributions to projects as well as contributes and manages some small to medium projects, when applicable.
• Accountability for escalated or complex issue resolution.
• Develop business and pharmacy benefit solutions to satisfy mutually agreed upon goals and objectives; conduct problem solving resolution and decision making sessions for complex issues and projects; promote a culture of performance excellence and continuous quality improvement.
• Communicate effectively with all levels of the organization.
• Establish routine informational exchanges, based upon proposed product designs, prospective goal setting, strategic planning and implementation activities.
• Identify and articulate problems to management, steering committees and/or project sponsors.
• Research and develop competitive pharmacy benefit offerings and ensure proper positioning in the marketplace.
• Focus on achieving optimal member experience and continued viability of the pharmacy product portfolio.
• Other duties as assigned or requested.

Benefits

• Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED