Senior Pharmacy Operations Analyst

Overview

• Collaborate with team members to design and implement pharmacy benefits effectively.
• Provide support for escalated and complex pharmacy benefit issues.
• Contribute to annual corporate projects for pharmacy benefit refresh initiatives.
• Maintain project documentation and ensure timely updates to management.
• Lead pharmacy operations for web content updates and audits.
• Audit prescription drug benefit plans and ensure accurate setup.
• Collaborate with internal teams to meet client needs and ensure compliance.
• Monitor and resolve compliance issues, providing updates to management.
• Engage in activities focused on client retention and new sales initiatives.

Key Responsibilities & Duties

• Design and implement pharmacy benefits in collaboration with team members.
• Address escalated and complex issues related to pharmacy benefits.
• Participate in corporate projects for pharmacy benefit refresh and updates.
• Maintain and update project plans, ensuring deadlines are met.
• Lead operational tasks for web updates and audits of benefit plans.
• Audit prescription drug benefit setups for accuracy and compliance.
• Collaborate with internal teams to meet client needs and ensure compliance.
• Monitor compliance issues and provide timely updates to management.
• Engage in client retention and new sales-focused activities.

Job Requirements

• Bachelor's degree in a relevant field or equivalent experience.
• Minimum of 5 years of experience in a related field; 7 years preferred.
• Strong knowledge of pharmacy benefits and operational processes.
• Proficiency in auditing and compliance monitoring for pharmacy plans.
• Experience in project management and maintaining documentation.
• Ability to collaborate with internal teams and address client needs.
• Familiarity with state and federal regulations for commercial pharmacy plans.
• Excellent analytical and problem-solving skills.
• Strong communication and organizational abilities.