Pharmacy Risk & Investigations Analyst – Hybrid

RedSail Technologies LLC; Spartanburg (SC); Hybrid; USD 95,000 - 115,000; Full time

Benefits offered by this job

401(k) with company match

Medical, dental, and vision insurance

Paid time off

Job summary

RedSail Technologies LLC seeks a Business Analyst (RAS) to protect product and customer ecosystems by monitoring account activity, conducting reviews, and analyzing operational data to identify risks and opportunities to strengthen controls.

The role leverages RAS/PowerLine and PMS to validate activity, support decisions, and guide corrective actions with discretion and accuracy. Requires a bachelor’s degree and 3–5 years in the pharmacy industry.

Qualifications

• Bachelor's degree in business, finance, healthcare administration, criminal justice, data analytics, or a related discipline.
• Requires 3–5 years of experience in the pharmacy industry.
• Working knowledge of pharmacy workflows, customer account activity, and pharmacy management systems.
• Ability to review and interpret data across RAS/PowerLine and PMS environments to identify suspicious activity, inconsistencies, and trends.
• Strong analytical, investigative, and problem-solving skills with exceptional attention to detail.
• Effective and professional communication skills with the ability to document findings and present information clearly to technical and non-technical audiences.

Responsibilities

• Review account activity when unusual or potentially non-compliant activity is identified, including researching anomalies, evaluating transactional patterns, and documenting findings.
• Conduct proactive reviews of randomly selected accounts to help ensure appropriate use of RedSail products and services and to identify emerging operational and business risks.
• Analyze and compare data from RAS/PowerLine and other internal systems to identify inconsistencies, unusual activity, and account integrity indicators.
• Review data directly within the PMS for specific cases to validate activity, confirm details, and support account reviews and investigations.
• Document account reviews, investigation outcomes, trends, and recommendations clearly and accurately for leadership and cross-functional partners.
• Collaborate with internal teams to elevate findings, recommend corrective actions, strengthen internal controls, and support account integrity initiatives through investigation outcomes and policy recommendations.
• Lead assigned reviews and projects and ensure timely completion of routine and complex investigative assignments.

Skills

Pharmacy workflows

Analytical skills

Investigative skills

Problem-solving

Communication skills

Attention to detail

Education

Bachelor's degree in business, finance, healthcare administration, criminal justice, data analytics, or related discipline

Tools

Microsoft Office Suite

RAS/PowerLine

PMS platforms

Job description

RedSail Technologies LLC seeks a Business Analyst (RAS) to protect product and customer ecosystems by monitoring account activity, conducting reviews, and analyzing operational data to identify risks and opportunities to strengthen controls.

The role leverages RAS/PowerLine and PMS to validate activity, support decisions, and guide corrective actions with discretion and accuracy. Requires a bachelor’s degree and 3–5 years in the pharmacy industry.