Pharmacy Analyst

Company :

Job Description : 

JOB SUMMARY

• Collaborate with stakeholders to establish and execute Specialty Pharmacy Program strategies that include organizing and coordinating activities to ensure the successful delivery of desired results.
• Monitor and evaluate activity progress: Continuously monitor and evaluate the progress, status, and alignment of all ongoing activities within Specialty Pharmacy Programs.
• Maintain project viability and communicate effectively: Perform change management as necessary to maintain the viability, relevance, and timeliness of all work. Communicate regularly and effectively with stakeholders to address any issues or concerns that may arise.
• Conduct project research and management: Perform thorough research on assigned projects and assume full responsibility for managing and leading those projects to successful completion, meeting all business objectives. Analyze data to identify business problems, trends, or opportunities for process improvement.
• Research, analyze and evaluate new program needs: Identify opportunities to develop new and innovative pharmacy products. Conduct appropriate research and analysis to assess the feasibility of administering and implementing these new products.
• Gather requirements and translate business needs: Collaborate closely with business owners and stakeholders to thoroughly understand all business needs, processes, project specifications, and the development of business cases. Translate these business needs into clearly defined, documented, high-quality requirements, functional designs, and supplementary system specifications.

ESSENTIAL RESPONSIBILITIES

• Implement product/program designs and ensure quality standards, financial performance, and regulations are met.  Develop and establish standardized processes and effective measurement, evaluation and improvement methods.  Implement interventions that result in continuous measurable improvements. Work collaboratively with business owners to identify areas where improvements are needed and to develop and monitor appropriate action plans to ensure a consistent focus on priority issues.  General knowledge of key performance indicators (KPIs) and metrics.
• Analyze data processes, business processes, and interfaces to support multiple areas which will include program (and/or vendor) oversight, using appropriate measurement processes and potential audits. Gather and analyze information, designs and test solutions to problems and formulates plans.  Make decisions that refine and improve known practices or develops new approaches.
• Work with multidisciplinary teams within Pharmacy Markets, other Highmark departments, and external vendors to ensure program effectiveness and general project management. Make independent contributions to projects as well as contributes and manages some small to medium projects, when applicable.
• Accountability for escalated or complex issue resolution.
• Develop business and pharmacy benefit solutions to satisfy mutually agreed upon goals and objectives; conduct problem solving resolution and decision making sessions for complex issues and projects; promote a culture of performance excellence and continuous quality improvement.
• Communicate effectively with all levels of the organization. Establish routine informational exchanges, based upon proposed product designs, prospective goal setting, strategic planning and implementation activities. Identify and articulate problems to management, steering committees and/or project sponsors.
• Research and develop competitive pharmacy benefit offerings and ensure proper positioning in the marketplace.  Focus on achieving optimal member experience and continued viability of the pharmacy product portfolio.
• Other duties as assigned or requested.

EDUCATION

Required

• High school diploma / GED

Substitutions

• None

Preferred

• Bachelor's Degree

EXPERIENCE

Required

• Healthcare experience
• Project Management experience

Preferred

• Project Management

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Six-Sigma

SKILLS

• Advanced experience with MS Office
• A dependable problem-solver and administrator, responsible for maintaining efficient department processes coupled with analytical skills.
• Excellent communication skills, with the ability to translate pharmacy process details into easily digestible information.
• A proactive, solutions-oriented attitude, and exceptional organizational skills.