Pharmacy Analyst (Medicaid Business Unit - Remote)

Lensa; Hyde Park Township (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Pharmacy Analyst to work with the Medicaid Business Unit. The role involves project management, compliance, data analysis, and improving pharmacy services. Candidates should have healthcare experience and strong communication skills. This remote position offers opportunities for professional growth and collaboration across teams.

Qualifications

• Required: Healthcare experience, Project Management experience.
• Preferred: Additional Project Management experience.

Responsibilities

• Manage projects, analyze data for trends and opportunities.
• Develop new pharmacy services or programs through research.
• Ensure compliance with regulations and monitor changes.

Skills

Critical Thinking

Problem Solving

Communication

Education

High school diploma / GED

Bachelor's Degree

Tools

MS Office

Job description

Pharmacy Analyst (Medicaid Business Unit - Remote)

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Highmark Health, is seeking professionals. Apply via Lensa today!

Company:

Highmark Inc.

Job Description:

JOB SUMMARY
Work with the Pharmacy Medicaid/DSNP Business Unit to achieve growth objectives by organizing activities, monitoring progress, and communicating effectively with stakeholders. Responsible for research, project management, compliance, data analysis, and process improvement initiatives.

• Manage projects, analyze data for trends and opportunities, and lead initiatives to meet business goals.
• Develop new pharmacy services or programs through research and feasibility analysis.
• Ensure compliance with regulations and monitor regulatory changes.
• Provide analytic support, develop predictive models, and collaborate on business strategies.
• Translate business needs into detailed requirements and specifications for applications and process changes.

ESSENTIAL RESPONSIBILITIES:

• Implement product designs, develop standardized processes, and measure performance for continuous improvement.
• Analyze business processes, support program oversight, and make decisions to improve practices.
• Work with multidisciplinary teams and manage small to medium projects.
• Resolve escalated issues and develop pharmacy benefit solutions.
• Communicate effectively across organizational levels and articulate problems and solutions.
• Research competitive offerings and focus on member experience and product viability.

Education:

• Required: High school diploma / GED
• Preferred: Bachelor's Degree

Experience:

• Required: Healthcare experience, Project Management experience
• Preferred: Additional Project Management experience

Skills:

• Proficiency with MS Office, presentation skills, critical thinking, pattern recognition, problem-solving, and excellent communication.

Other Details:

• Travel: 0-25%
• Position: Office-based, includes teaching/training, occasional travel, physical demands described.

Note: The job description provides a general overview and may not include all duties and responsibilities.