Pharmacy Analyst (Medicaid Business Unit - Remote)

Lensa; Madison (WI); Remote; USD 57,000 - 108,000; Full time

Job summary

A leading healthcare company is seeking a Pharmacy Analyst for their Medicaid Business Unit. This remote role involves managing projects, analyzing data for improvements, and collaborating with teams to develop new services. Candidates should have healthcare experience and strong analytical skills.

Qualifications

• Required healthcare and project management experience.
• Preferred Six-Sigma certification.

Responsibilities

• Manage projects and analyze data for process improvements.
• Ensure compliance with regulations and policies.
• Collaborate to translate business needs into requirements.

Skills

Advanced MS Office

Critical Thinking

Pattern Analysis

Problem Assessment

Communication

Education

High school diploma / GED

Bachelor's Degree

Job description

Pharmacy Analyst (Medicaid Business Unit - Remote)

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Company:

Highmark Inc.

Job Description:

JOB SUMMARY

Work with the Pharmacy Medicaid/DSNP Business Unit Business Owners, Stakeholders, and Management to achieve growth objectives. Organize and coordinate activities, monitor progress, and communicate regularly with customers. Responsible for:

• Managing projects, analyzing data for process improvements.
• Developing new Pharmacy Medicaid/DSNP services or programs.
• Ensuring compliance with regulations and policies.
• Providing analytic support, developing predictive models.
• Collaborating to understand business needs, translating them into requirements and system specifications.

ESSENTIAL RESPONSIBILITIES

• Implementing product/program designs, ensuring quality and compliance, developing processes, and measuring performance.
• Analyzing data and business processes, supporting multiple areas, and making decisions for improvements.
• Working with multidisciplinary teams, managing projects, and resolving complex issues.
• Developing solutions to meet goals, conducting problem-solving sessions, and promoting continuous improvement.
• Communicating effectively across organizational levels, identifying problems, and articulating solutions.
• Researching and developing competitive pharmacy benefit offerings.
• Other duties as assigned.

Education:

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

Experience:

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

Licenses or Certifications:

• Required: None
• Preferred: Six-Sigma

Skills:

• Advanced MS Office experience
• Experience with presentations, critical thinking, pattern analysis, problem assessment, and communication skills

Additional Details:

Travel: 0-25%

Position: Office-based, some travel, physical demands as specified.

Pay Range: $57,700 - $107,800

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