Pharmacy Operations Analyst

HMSA•Honolulu, HI

11d

About The Position

The Pharmacy Operations Analyst supports the planning, execution, analysis, and improvement of pharmacy operations. The role manages and coordinates projects, quality assurance and monitoring activities, operational tasks, implementations, and follow-up across internal teams, external partners, the Pharmacy Benefits Manager (PBM), and major functional areas. It supports day-to-day pharmacy operational activities within an assigned line of business and helps implement corrective actions to maintain acceptable performance and comply with policies, procedures, workflows, and business requirements. The analyst supports pharmacy benefit changes and other initiatives through benefit setup, validation, testing, implementation, and review of configuration outcomes. The position investigates operational concerns affecting members, pharmacies, and business partners, coordinates issue resolution, identifies root causes and process improvements, and tracks issues through resolution. It also analyzes operational trends, implementation results, issue patterns, and performance indicators; prepares reports and summaries; and collaborates with pharmacy operations, performance, solutions, clinical, vendor, and PBM stakeholders. Other responsibilities may be assigned or directed.

Requirements

Bachelor's degree and four years of related work experience, or an equivalent combination of education and work experience.
Knowledge or skills in project management.
Proficiency in issue identification, resolution, and program operations.
Working knowledge of database and spreadsheet programs.
Strong oral and written communication skills, including the ability to provide information in formal presentation settings.
Intermediate working knowledge of Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.

Responsibilities

Manage projects related to developing and improving Pharmacy Operations.
Coordinate or facilitate planning and completion of quality assurance and monitoring activities within the department, PBM, and major functional areas.
Assess compliance with internal policies, procedures, workflows, and new or revised business requirements, and work with internal and external departments on corrective actions.
Support day-to-day pharmacy operational activities within an assigned line of business.
Coordinate operational tasks, implementations, and follow-up across internal teams and external partners.
Assist with planning and executing pharmacy-related initiatives, benefit changes, and operational enhancements.
Monitor operational activities to identify risks, delays, and process breakdowns.
Analyze business problems involving benefit or product changes, formulary changes, and enhancements to add functionality or improve efficiencies.
Support benefit setup, validation, testing, and implementation activities.
Review benefit configuration outcomes and investigate discrepancies or operational concerns.
Coordinate testing with internal stakeholders and external vendors.
Document implementation results, findings, and corrective actions.
Investigate operational issues affecting members, pharmacies, and business partners.
Facilitate and coordinate issue resolution across Pharmacy Management teams and supporting departments.
Identify root causes, escalation needs, and process-improvement opportunities.
Develop recommendations and proposals for resolution for leadership.
Track operational issues through resolution and communicate status updates to stakeholders.
Analyze operational trends, implementation results, issue patterns, and performance indicators.
Develop reports and summaries to support decision-making and continuous improvement.
Partner with Pharmacy Performance and Pharmacy Solutions on operational reviews and initiative tracking.
Identify opportunities to improve workflow efficiency and service quality.
Partner with Operations Specialists to ensure operational activities are completed accurately and consistently.
Collaborate with Operations Pharmacists on clinically complex operational issues.
Support interactions with internal departments, external vendors, and PBM partners.
Contribute operational expertise to enterprise initiatives and governance discussions as needed.
Perform other miscellaneous responsibilities and duties as assigned or directed.