Pricing & Plan Setup Analyst – Pharmacy Systems

BrightSpring Health Services; Louisville, Northern (KY, KY); Hybrid; USD 60,000 - 80,000; Full time

Job summary

PharMerica is seeking a Plan Analyst to establish and configure pricing and plan parameters in our pharmacy practice systems to support client contracts and third‑party plans. You will manage pricing implementation, address client issues, and work with LTC400 and RxExact for standard and complex plan designs.

The role may involve formulary and product file questions. The position requires a Bachelor’s degree and several years of corporate experience in healthcare billing, with strong analytical

Qualifications

• Bachelor’s degree or higher.
• Three or more years corporate experience.
• Long Term Care, Pharmacy Practice Management System setup, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM experience 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.

Skills

Pricing analysis

Data analysis

Excel proficiency

Healthcare billing

Education

Bachelor's degree

Tools

LTC400

RxExact

Job description

PharMerica is seeking a Plan Analyst to establish and configure pricing and plan parameters in our pharmacy practice systems to support client contracts and third‑party plans. You will manage pricing implementation, address client issues, and work with LTC400 and RxExact for standard and complex plan designs.

The role may involve formulary and product file questions. The position requires a Bachelor’s degree and several years of corporate experience in healthcare billing, with strong analytical