Pharmacy Finance Analyst: Payments & Audit Support

Blue Shield of California; California; Hybrid; USD 91,610,000 - 137,622,000; Full time

Benefits offered by this job

Restaurant discounts

Job summary

Blue Shield of California is seeking a Business Analyst, Pharmacy Finance Support to help manage the pharmacy portfolio budget and validate vendor invoices prior to payment. You will support day-to-day pharmacy funding, coordinate approvals, research discrepancies, track funding activity, and maintain detailed process docs.

The role collaborates with Finance, Data Analytics, external vendors, and business stakeholders to ensure controls, audit readiness, and timely execution across pharmacy

Qualifications

• Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
• Requires at least 3 years of prior relevant experience.
• Knowledge of pharmacy benefit claims and pharmacy operations.
• Experience in business analysis, financial operations, payment validation, reconciliation, controls, or audit support.
• Ability to analyze discrepancies, maintain accurate financial tracking, and manage recurring operational deadlines.
• Excellent verbal and written communication skills that exhibit a solution-oriented approach Proficient in Microsoft Excel.

Responsibilities

• Provide analytical support through the analysis and interpretation of data in support of cross-functional business operations
• Contribute to operating plans, budgets and forecasts; build business cases (cost/benefit) for new initiatives
• Develop, prepare and analyze reports for management review and present to various levels of management
• Define business requirements and provide analysis to increase operational efficiency
• Analyze actual results against plan and forecast and recommend interventions where appropriate
• Perform operational validation, approval coordination, payment processing, and discrepancy research for Pharmacy funding and Administrative Invoice activities
• Track Pharmacy funding expenditures against approved pre-approval amounts and maintain accurate records of dollars received and disbursed
• Support Archer controls, external audits, and related evidence requests
• Create and maintain process documents and detailed level procedures for BSC-side Pharmacy
• Administrative invoice validation
• Perform other duties as assigned

Skills

3+ years experience

Pharmacy knowledge

Business analysis

Financial operations

Payment validation

Reconciliation

Controls

Audit support

Discrepancy analysis

Financial tracking

Operational deadlines

Excel

Communication skills

Education

Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree

Job description

Blue Shield of California is seeking a Business Analyst, Pharmacy Finance Support to help manage the pharmacy portfolio budget and validate vendor invoices prior to payment. You will support day-to-day pharmacy funding, coordinate approvals, research discrepancies, track funding activity, and maintain detailed process docs.

The role collaborates with Finance, Data Analytics, external vendors, and business stakeholders to ensure controls, audit readiness, and timely execution across pharmacy