About The Position
We are seeking a strategic and analytically driven Pharmacy Business & Contract Analyst to support revenue optimization, payer relationships, and contract performance across the health system’s pharmacy services. This role serves as a key liaison between pharmacy operations, payers, and leadership—driving data-informed decision-making and ensuring compliance with contractual and regulatory requirements. The Pharmacy Business & Contract Analyst is responsible for managing pharmacy-related contracts, supporting revenue cycle performance, and delivering actionable insights through financial and operational analysis. This role plays a critical part in identifying opportunities to enhance reimbursement, improve efficiency, and strengthen payer performance across the organization.
Requirements
- Doctor of Pharmacy (PharmD) or Registered Pharmacist with equivalent experience
- Minimum of 5 years of pharmacy practice experience
- Current licensure as a Pharmacist in the State of Missouri
- Strong analytical and financial acumen with attention to detail
- Ability to translate complex data into actionable insights
- Excellent communication and stakeholder management skills
- Proactive problem-solver with a focus on continuous improvement and business outcomes
Nice To Haves
- Master’s degree in Public Health, Business Administration, Health Administration, Health Informatics, Accounting, or related field
- Experience in pharmacy, insurance, or healthcare business environments involving contracts and third-party payers
- Knowledge of Medicare, Medicaid, HIPAA, and reimbursement practices
- Familiarity with electronic claims processing and revenue cycle operations
Responsibilities
- Manage and support pharmacy contracting activities, ensuring compliance with payer requirements and internal policies
- Analyze payer performance, reimbursement trends, and contract compliance to identify risks and opportunities
- Conduct financial audits and business analyses to support revenue integrity and operational efficiency
- Serve as the primary point of contact for pharmacy-related payer inquiries, issue resolution, and relationship management
- Maintain provider manuals, payer databases, and contract documentation (paper and electronic)
- Develop, prepare, and maintain data analytics and reporting tools for leadership and operational teams
- Provide recommendations for process improvements, workflow optimization, and revenue enhancement
- Support training and education related to contracts, reimbursement, and billing practices
- Ensure compliance with regulatory standards, including HIPAA and government payer requirements
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Ph.D. or professional degree
