Pharmacy Analyst

Highmark Health

2d • Onsite

About The Position

The Pharmacy Analyst works with the Pharmacy Market business owners, stakeholders, and other management and supports the Specialty Pharmacy Products and Programs by performing critical analytical work and assisting with day-to-day departmental activities to achieve growth objectives, organizing and coordinating activities to ensure successful delivery of desired results. This role is instrumental in ensuring the end-to-end effectiveness, integrity, and quality of Highmark's specialty programs across both pharmacy and medical drug benefits.

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 (technical or science preferred)
• Project Management
• Technical proficiency in Excel
• Analytical and problem-solving abilities
• Technical proficiency in SQL
• Experience with data visualization tools like Tableau or Power BI.
• Experience in a quality control or quality assurance role.
• Six-Sigma

Responsibilities

• Investigating product and program inquiries, ensuring adherence to standard operation procedures, mandates, and quality benchmark standards, analyzing variances, and conducting comprehensive program audits, including focused audits documenting variances, deviations and nonconformances within programs when product or process changes occur.
• Monitoring and evaluating progress, status, and alignment of activities, with the ability to initiate corrective action as needed to maintain work viability and timeliness and monitoring the effectiveness of these actions.
• Communicate regularly and effectively with customers regarding issues or concerns.
• Responsible for research, project leadership and data analysis to identify business problems or process improvement opportunities and evaluating the feasibility of new Pharmacy products.
• Partnering with business units to ensure compliance with governmental, contractual, and corporate guidelines, continuously monitoring regulatory changes, and providing consultation and analytic support to assigned functional areas.
• Collaboration with business owners/stakeholders to translate business needs into clearly defined requirements, functional designs, and system specifications for new applications or change requests is also a core function.
• Analyzing data to identify improvement opportunities

What This Job Offers

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