Senior Pharmacy Operations Analyst

Overview

• Collaborate with team members to design and implement pharmacy benefits for clients, ensuring compliance with regulations and client satisfaction.
• Provide support for escalated and complex issues, offering solutions and maintaining operational efficiency.
• Lead pharmacy operational tasks, including web updates and benefit audits, ensuring accuracy and compliance.
• Maintain project plans and provide regular updates to management, meeting deadlines effectively.
• Collaborate with internal teams to address client needs and ensure compliance with state and federal regulations.
• Engage in activities focused on client retention, new sales, and resolution of benefit issues.
• Analyze and resolve compliance issues, providing timely updates for dissemination.

Key Responsibilities & Duties

• Design and implement pharmacy benefits, collaborating with team members for optimal solutions.
• Support escalated issues, ensuring resolution and operational efficiency.
• Lead annual corporate projects to refresh pharmacy benefit offerings.
• Audit prescription drug benefit plans, ensuring accurate setup and compliance.
• Collaborate with internal partners to meet client needs and regulatory requirements.
• Monitor compliance issues and facilitate timely resolution.
• Engage in client retention and sales activities, addressing benefit issues effectively.

Job Requirements

• Bachelor's degree required; advanced degree preferred.
• Minimum of 5 years of experience in a related field; 7 years preferred.
• Strong knowledge of pharmacy benefits and compliance regulations.
• Proficiency in project management and maintaining detailed project plans.
• Excellent collaboration skills with internal and external partners.
• Ability to audit and ensure accuracy in benefit setups.
• Experience in client retention and sales support activities.