Pharmacy Analyst Job Description

Pharmacy Analyst Job Description

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Pharmacy analyst provides information on medications to physicians and other staffmembers including availability of new drugs, warnings on currentlymarketed drugs, incompatibility of certain drugs and contraindicationsof drugs and other pharmaceuticals.

Pharmacy Analyst Duties & Responsibilities

To write an effective pharmacy analyst job description, begin by listing detailed duties, responsibilities and expectations. We have included pharmacy analyst job description templates that you can modify and use.

Sample responsibilities for this position include:

Develop and refine SQL queries to analyze pharmacy claims
Resource to Set Up retail pharmacy 340b data transfer between pharmacies and vendor
Occasionally will be required to lift up to 25 lbs
Modify and set up benefits based on requirements provided by the customer
Perform testing and validation to confirm the new benefit setup processes as expected and meets customer requirements and all appropriate forms and documentation are fully and accurately completed
Troubleshoot and perform research on basic to moderately complex claims processing issues or customer inquiries
Provide input in evaluating how to best set up customer benefits (e.g., different tables, different benefit setup approaches)
Act as a support resource to the customer while participating as a member of the Benefits team
Responsible for, but not limited to, the analytical functions for creating & supporting standard pharmacy services reporting
Develops queries, analyses and deliverables for pharmacy services including standard and ad-hoc reports

Pharmacy Analyst Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Pharmacy Analyst

List any licenses or certifications required by the position: PTCB, ITIL, CPHT, EPIC, EHR, DEA, SSL, SAS, IIBA

Education for Pharmacy Analyst

Typically a job would require a certain level of education.

Employers hiring for the pharmacy analyst job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Finance, Business, Education, Pharmacy, Healthcare, Accounting, Business/Administration, Computer Science, Statistics, Mathematics

Skills for Pharmacy Analyst

Desired skills for pharmacy analyst include:

Medical/clinical and pharmacy terminology
Personal computers
MS Office Tools
SQL
CPT-4/HCPCS pharmacy coding and reimbursement changes
Drugs and pharmaceuticals to identify incorrectly billed medications
Federal and industrial standards and regulations
IV fluids and identify use of drugs for non-FDA approved treatments for investigational and off-label uses/administration
Various state
Drugs and pharmaceuticals to conduct post service audits to ensure accuracy of billed charges

Desired experience for pharmacy analyst includes:

Experience using OBIEE, or other BI Tools
Microsoft Office/Suite proficient (Excel, Access)
Previous experience in business related field (project coordination, communications, marketing, ) preferred
Bachelor’s Degree in Business Administration or IT related field
Proven experience with technology that will be utilized including Microsoft Access and Excel
Previous health insurance or pharmaceutical industry experience working in a Finance/Accounting department

Pharmacy Analyst Examples

1

Pharmacy Analyst Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of pharmacy analyst. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for pharmacy analyst
  • Partner with network pharmacist to interpret vision and build analytic products based on vision desired
  • Utilizes related software solutions to analyze and interpret data
  • Tracks and monitors metrics related to performance and forecasting
  • Conduct comprehensive reviews of dispensing and purchase data to identify suspicious trends and report to management
  • Develop and manage key performance indices related to purchase thresholds for all dispensing locations
  • Serve as primary coordinator for site evaluations and research
  • Create and report data analytics and support to loss prevention and division management
  • Provide data analytics to Pharmacy Professional Services Department as requested for regulatory agency inquiries
  • Review and track loss reports from all pharmacy locations
  • Facilitate DEA 106 Form filing and tracking for all pharmacy locations
Qualifications for pharmacy analyst
  • Certified Pharmacy Technician in the state of Kentucky
  • Experienced at developing detailed task lists, timelines and resource budgets to complete projects
  • Demonstrated ability to implement projects and achieve business goals
  • Data mining and drawing insights from the data
  • Working knowledge of medical terminology and drug nomenclature
  • Minimum two years analytics experience required
2

Pharmacy Analyst Job Description

Job Description Example
Our growing company is hiring for a pharmacy analyst. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for pharmacy analyst
  • Serve as a liaison between Information Technology and Business functional groups to identify and resolve database issues
  • Responds to fax, telephone and web inquiries from physicians and other healthcare professionals
  • They must interpret clinical documentation for PA requests, Formulary exceptions, drug alternatives
  • Pharmacy vs
  • Reviews and issues approvals for non-formulary requests based on Pharmacy and Therapeutics (P&T) Committee and CMS approved criteria for healthcare professionals via the prior authorization system
  • Brings any escalated issues/potential denials to pharmacy case managers or medical directors for review
  • Prepares benefit approval, denial and additional information needed letters in accordance with plan requirements and regulatory compliance timelines
  • Staggered shifts will be required
  • Occasional on-call support may be necessary for after hours and weekend coverage
  • Supporting pharmacy related applications
Qualifications for pharmacy analyst
  • Minimum five (5) years of general experience in various phases of technology services delivery and/or business process consulting and reporting
  • Strong skills in personal computer applications and operating systems including word processing, process diagramming, spreadsheet, presentation, and/or database applications
  • Minimum one (1) year of experience with business intelligence software such as Microsoft Visual Studio or other business intelligence applications
  • Minimum two (2) years of pharmacy and/or pharmacy information systems experience
  • Knowledge of, and experience with, pharmacy claims data and their nomenclatures, including NDC, AWP, PBM, WAC…
  • Knowledge of claims reimbursement and how these manifest in claim adjudication and downstream analyses
3

Pharmacy Analyst Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of pharmacy analyst. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for pharmacy analyst
  • Under direct supervision, assists in implementation, modification and testing of business systems applications
  • Applies functional knowledge to design and customization of workflow systems
  • Analyzes data, identifies trends and develops recommendations based on data assessment
  • Assists in the development of policies, procedures, and practices related to systems and data
  • Engages and negotiates with brokers, attorneys, and management to create opportunities and maximize value with regards to strategic acquisition and investment targets
  • Identify and review new opportunities to maximize pharmacy process, efficiency, and productivity in support of the Pharmacy Division
  • Evaluates data collected and accurately identifies and interprets trends
  • Analyze financial impact of potential pharmacy process adjustments to maximize efficiency and cost savings benefits
  • Obtains and reports on metrics and data from Walgreens database systems
  • Collaborate with internal and external partners to develop action plans designed to achieve effectiveness in the Pharmacy
Qualifications for pharmacy analyst
  • Experience with various team/collaboration systems to include sprint planning, source control management
  • 3+ years of experience in on the ground professional pharmacy with a pharmacy benefit management company or a health plan
  • Knowledge of pharmacy claims and prescription drug event (PDE) submission
  • Ability to analyze and develop formulary, benefit administration, and payment process strategies based on the analysis of data and information and in the context of the Part D program
  • Ability to work collaboratively in a cross-functional team environment and in a dynamic environment with changing guidance and expectations from the client
  • Bachelor's degree in business, finance or statistics
4

Pharmacy Analyst Job Description

Job Description Example
Our company is searching for experienced candidates for the position of pharmacy analyst. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for pharmacy analyst
  • Develops and presents cost-benefit analyses of proposed programs and makes specific recommendations tied to the business goals of the department and Company
  • Collects, analyzes and presents information pertaining to long-term planning and strategic goals of the Pharmacy Purchasing department
  • Works on projects in strategy development, industry trends, competitive analysis, and company positioning as it relates to pharmacy purchasing and distribution
  • Ad Hoc Analysis, Reporting and Project Management
  • Conceptualizes, develops and presents business cases to present to Pharmacy Management
  • Applies moderate level of subject matter knowledge to solve a variety of business issues
  • Conceptualizes, develops and presents business cases to financial and business leadership
  • Acts as an internal consultant and interacts with management at all levels
  • Conducts analysis of alternatives, recommendations and research from multiple sources
  • Develops and prepares various analytical and statistical reports in support of the business activities
Qualifications for pharmacy analyst
  • Proficient with all Microsoft Office tools, particularly MS Access and MS Excel
  • Bachelor’s degree preferred (Business/Finance) or equivalent experience
  • Keen legal and business acumen
  • Financial and/or information analysis experience
  • Organization skills to manage multiple initiatives
  • Work autonomously, handle projects under deadlines pressures and set priorities effectively
5

Pharmacy Analyst Job Description

Job Description Example
Our innovative and growing company is looking for a pharmacy analyst. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for pharmacy analyst
  • Provide technical guidance and support on reporting tools to various pharmacy departments via XML coding
  • Prepare various ad hoc reports such as store transfers, specific customer or customer grouping trends, partial/delete trends, and new generic or other drug utilization for the Pharmacy areas
  • Support special projects that impact Managed Care, Pharmacy Operations, or Pharmacy Services including savings card, specialty, delivery, 340B, etc
  • Program the extraction of data for business projects to provide operational reporting used to respond to market pressures and competition
  • Diagnosing areas of opportunity, aligning teams to plans that will drive growth and profitability and creating ways for field management to coach store leadership on these activities
  • Providing oversight for pharmacy team workload and monthly workload calendar
  • Cataloging and gathering workload items that impact store and field members and drive workload balance through analytics and process improvement
  • Interacting with various business partners throughout the enterprise
  • Collaborating with outside vendors to provide guidelines, new requirements, and issue resolution
  • Perform complex analysis of large pharmacy provider and customer data sets, including determining generic product pricing (i.e., maximum allowable cost, or MAC pricing)
Qualifications for pharmacy analyst
  • Three years experience in a business-to-business service organization, statistical and business analysis experience
  • Information Systems experience with Pharmacy Systems, especially Cerner preferred
  • Basic knowledge of Pharmacy and related computer systems such as Med Distribution and Order Management Systems (ie
  • At least two years of college level study preferred
  • Experience working in a pharmacy inventory management capacity preferred
  • 1-2 years of experience in an inventory management role preferred

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