Senior Pharmacy Operations Analyst

Overview

• Serve as a key contributor in pharmacy operations, ensuring compliance and optimizing benefit solutions for clients in a dynamic healthcare environment.
• Collaborate with cross-functional teams to design and implement pharmacy benefits tailored to client needs and regulatory standards.
• Provide expert support for escalated issues, delivering effective solutions and maintaining operational excellence.
• Lead initiatives to audit and update pharmacy benefit plans, ensuring accuracy and adherence to compliance regulations.
• Manage project plans and deadlines, providing regular updates to stakeholders and ensuring timely delivery of objectives.
• Engage in activities focused on client retention and acquisition, addressing benefit-related concerns effectively.
• Analyze compliance issues and implement resolutions, ensuring timely dissemination of updates.
• Contribute to the continuous improvement of pharmacy operations processes and strategies.

Key Responsibilities & Duties

• Design and implement pharmacy benefits, collaborating with internal teams to achieve optimal solutions.
• Support escalated and complex issues, ensuring resolution and operational efficiency.
• Lead annual projects to refresh and optimize pharmacy benefit offerings.
• Audit prescription drug benefit plans for accuracy and compliance with regulations.
• Collaborate with internal and external partners to meet client needs and regulatory requirements.
• Monitor compliance issues, facilitating timely resolution and communication.
• Engage in client retention and sales activities, addressing benefit-related concerns effectively.
• Provide regular updates to management on project progress and operational tasks.

Job Requirements

• Bachelor's degree required; advanced degree in a related field preferred.
• Minimum of 5 years of experience in pharmacy operations or a related field; 7 years preferred.
• Strong knowledge of pharmacy benefits, compliance regulations, and operational management.
• Proficiency in project management, including maintaining detailed project plans and meeting deadlines.
• Excellent collaboration skills with internal teams and external partners.
• Ability to audit benefit setups and ensure accuracy and compliance.
• Experience in client retention and sales support activities.
• Strong analytical and problem-solving skills to address compliance and operational challenges.