Pharmacy Operations Analyst
About The Position
The Pharmacy Operations Analyst supports the planning, execution, monitoring, and improvement of pharmacy operations across an assigned line of business. The role coordinates operational tasks and projects across internal teams, external partners, and Pharmacy Benefits Manager (PBM) functions; supports quality assurance and compliance activities; and helps implement corrective actions to maintain acceptable performance levels. The analyst supports pharmacy benefit setup, validation, testing, and implementation, including benefit changes, new products, formulary changes, and operational enhancements. The role investigates operational issues affecting members, pharmacies, or business partners, coordinates resolution efforts, analyzes trends and performance indicators, and prepares reports and recommendations to support decision-making and continuous improvement. The position collaborates with Operations Specialists, Operations Pharmacists, Pharmacy Performance, Pharmacy Solutions, internal departments, vendors, and PBM partners. 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 a formal presentation setting.
- 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; coordinate corrective actions as needed.
- Support day-to-day pharmacy operational activities for an assigned line of business.
- Coordinate operational tasks, implementations, and follow-up activities across internal teams and external partners.
- Assist in planning and executing pharmacy 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 functionality or efficiency.
- Support benefit setup, validation, testing, and implementation activities; review configuration outcomes and investigate discrepancies or operational concerns.
- Coordinate testing activities with internal stakeholders and external vendors, and document results, findings, and corrective actions.
- Investigate operational issues affecting members, pharmacies, or business partners and coordinate resolution efforts across Pharmacy Management teams and supporting departments.
- Identify root causes, escalation needs, and process-improvement opportunities; develop recommendations and proposals 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 support accurate and consistent completion of operational activities.
- 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.
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What This Job Offers
Job Type
Full-time
