Pharmacy Analyst

Description

JOB SUMMARY

The Pharmacy Analyst works with the Pharmacy Market business owners, stakeholders, and other management and supports the Specialty Pharmacy Products and Programs by performing critical analytical work and assisting with day-to-day departmental activities to achieve growth objectives, organizing and coordinating activities to ensure successful delivery of desired results. This role is instrumental in ensuring the end-to-end effectiveness, integrity, and quality of Highmark's specialty programs across both pharmacy and medical drug benefits.

ESSENTIAL RESPONSIBILITIES

• Investigating product and program inquiries, ensuring adherence to standard operation procedures, mandates, and quality benchmark standards, analyzing variances, and conducting comprehensive program audits, including focused audits documenting variances, deviations and nonconformances within programs when product or process changes occur.
• Monitoring and evaluating progress, status, and alignment of activities, with the ability to initiate corrective action as needed to maintain work viability and timeliness and monitoring the effectiveness of these actions.
• Communicate regularly and effectively with customers regarding issues or concerns.
• Responsible for research, project leadership and data analysis to identify business problems or process improvement opportunities and evaluating the feasibility of new Pharmacy products.
• Partnering with business units to ensure compliance with governmental, contractual, and corporate guidelines, continuously monitoring regulatory changes, and providing consultation and analytic support to assigned functional areas.
• Collaboration with business owners / stakeholders to translate business needs into clearly defined requirements, functional designs, and system specifications for new applications or change requests is also a core function.
• Analyzing data to identify improvement opportunities

PREFERRED RESPONSIBILITIES

EDUCATION

Required

Substitutions

Preferred

EXPERIENCE

Required

Preferred

LICENSES or CERTIFICATIONS

Required

Preferred

SKILLS

Language (Other than English) :

None

Travel Requirement : 0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products / services (sales employees)

Never

Physical work site required

Yes

Lifting : up to 10 pounds

Constantly

Lifting : 10 to 25 pounds

Occasionally

Lifting : 25 to 50 pounds

Rarely

Pay Range Minimum : $57,700.00

Pay Range Maximum : $107,800.00

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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