Pharmacy Operations Analyst

Immediate need for a talentedPharmacy Operations Analyst. This is a06+months contract opportunity with long-term potential and is located inU.S(Remote).Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-32806

Pay Range:$24/hr - $25/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Analyze and interpret complex formulary and pharmacy benefit requirements to create operational specifications.
• Review large formularies and implementation documents to identify changes and operational impacts.
• Manage multiple implementations while ensuring compliance with client and regulatory deadlines.
• Develop comprehensive documentation detailing formulary status, prior authorization requirements, and coverage restrictions.
• Collaborate with pharmacists and operational stakeholders to ensure successful implementation of requirements.
• Investigate and resolve implementation issues, maintaining audit-ready documentation.

Key Requirements and Technology Experience: 

• 2+ years of experience inpharmacy benefit management (PBM), health plan pharmacy operations, or related healthcare operations.
• Strong analytical skills with the ability to evaluate large data sets and identify discrepancies.
• Advanced proficiency inMicrosoft Excel, including data reconciliation and analysis.
• Experience withPrior Authorization,Medicaid, andpharmacy claims.
• Excellent documentation, organizational, and project coordination skills.
• Ability to communicate effectively with technical and clinical stakeholders.
• State Medicaid PDL implementation experience.
• Experience with drug database vendors such asMedi-Span orFirst Databank.
• Familiarity withSQL, data analysis, or reporting platforms.
• Pharmacy Technician certification.
• Experience supporting audits or regulatory implementations.

Our client is a leadingHealthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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