Pharmacy Operations Analyst
Posted Updated
Description
- Operational Planning & Execution
- Manage projects related to developing and improving Pharmacy Operations, coordinate and/or facilitate planning and completion of quality assurance and monitoring activities within the department, Pharmacy Benefits Manager (PBM) and/or among major functional areas
- Assess compliance with internal policies, procedures and work flows and new and revised business requirements; work with internal and external departments to implement corrective actions as necessary to meet and/or maintain acceptable performance levels
- Support day-to-day execution of pharmacy operational activities within an assigned line of business.
- Coordinate operational tasks, implementations, and follow-up activities across internal teams and external partners.
- Assist in planning and execution of pharmacy-related initiatives, benefit changes, and operational enhancements.
- Monitor operational activities to identify risks, delays, and/or process breakdowns.
- Benefit Implementation & Testing Support
- Analyze business problems, including, but not limited to new benefit changes or products, formulary changes, enhancements to add functionality and/or improve efficiencies
- Support benefit setup, validation, testing, and implementation activities.
- Review benefit configuration outcomes and investigate discrepancies or operational concerns.
- Coordinate testing activities with internal stakeholders and external vendors.
- Document implementation results, findings, and required corrective actions..
- Issue Resolution & Process Improvement
- Investigate operational issues impacting members, pharmacies, and/or business partners.
- Facilitate & Coordinate issue resolution efforts across Pharmacy Management teams and supporting departments.
- Identify root causes, escalation needs, and opportunities for process improvement.
- Develop recommendations and proposals for resolution for leadership
- Track operational issues through resolution and communicate status updates to stakeholders.
- Operational Analysis & Reporting
- Independently analyze operational trends, implementation results, issue patterns, and performance indicators.
- Develop reports and summaries that support decision-making and continuous improvement.
- Partner with Pharmacy Performance and Pharmacy Solutions to support operational reviews and initiative tracking.
- Identify opportunities to improve workflow efficiency and service quality.
- Cross-Functional Collaboration
- Partner with Operations Specialists to ensure operational activities are completed accurately and consistently.
- 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.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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