Pharmacy Pricing & Plan Setup Analyst

BrightSpring Health Services; Louisville (KY); On-site; USD 65,000 - 90,000; Full time

Job summary

PharMerica, an affiliate of BrightSpring Health Services, is seeking a Plan Analyst to establish and manage pricing and plan parameters in pharmacy practice systems to support client contracts and 3rd party plans.

The role involves pricing implementation, researching client pricing and coverage setup, and ensuring accurate claim processing across LTC400 and RxExact platforms. Collaboration with internal partners and participation in special projects are expected.

Qualifications

• Bachelor’s degree required.
• 3+ years corporate experience.
• Experience with Long Term Care, Pharmacy Practice Management Systems, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM preferred.
• Ability to work with a high degree of accuracy and attention to detail.
• Strong interpersonal skills to work effectively with internal customers and Microsoft Office products.
• Knowledge of claims processing system or pharmacy practice system desired.
• Strong analytical and critical thinking skills.
• Advanced Excel and/or data knowledge.

Responsibilities

• Maintains client pricing and pharmacy coverage parameters in the pharmacy practice systems.
• Conducts research and provide information to internal partners on client pricing and coverage set-up.
• Ensures accurate claim processing by correcting and communicating discrepancies found in set-up and/or quality assurance testing and recommends appropriate plan set-up changes and/or system modifications when required.
• Analyzes the client request and determine the best operational approach and perform set-up.
• Conducts research and provide information to internal partners on client pricing, coverage set up and product file questions.
• Provides consultation and expertise to internal partners.
• Participates and/or takes the lead in special projects.
• Performs other tasks as assigned.
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards

Skills

Analytical thinking

Attention to detail

Microsoft Office

Excel

Communication skills

Education

Bachelor’s degree

Tools

LTC400

RxExact

Job description

PharMerica, an affiliate of BrightSpring Health Services, is seeking a Plan Analyst to establish and manage pricing and plan parameters in pharmacy practice systems to support client contracts and 3rd party plans.

The role involves pricing implementation, researching client pricing and coverage setup, and ensuring accurate claim processing across LTC400 and RxExact platforms. Collaboration with internal partners and participation in special projects are expected.