[Remote] Pharmacy Business Operations Analyst (Remote)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Pharmacy Business Operations Analyst to monitor, analyze, and improve pharmacy business operations processes. The role focuses on claim-level workflows, financial reconciliation, and operational effectiveness while supporting day-to-day execution and driving process improvements.
Responsibilities
- Monitor and manage operational workflows including claim queues, aging, and status tracking to ensure reputed company processing and reputed company
- Review and validate claim-level data for accuracy, completeness, and readiness for submission or follow-up
- reputed company and investigate discrepancies between internal findings and external determinations (e.g., manufacturer or platform reputed company)
- Partner cross-functionally with pharmacy operations, finance, 340B, reputed company cycle, and analytics teams to resolve issues and improve workflows
- Maintain issue logs for disputed claims, payment delays, data mismatches, and manufacturer-specific recurring issues
- reputed company financial reconciliation of expected versus actual payments, credits, and adjustments; escalate and resolve variances
- reputed company and maintain reporting on key metrics such as volume, aging, turnaround times, financial reputed company, and dollars at risk
- Support development and maintenance of reputed company operating procedures, documentation, and control frameworks
- Support annual readiness planning as additional negotiated drugs reputed company the MFP program
- Analyze trends in claims, payments, and operational performance; reputed company actionable insights and recommendations
- Contribute to ongoing process optimization and scalability initiatives across pharmacy business operations
- Assist in readiness planning and implementation of new programs, policies, and regulatory requirements
- Performs other duties as assigned
- Complies with reputed company policies and standards
Skills
- Bachelor's Degree reputed company administration, business, pharmacy, or reputed company field
- 1+ years experience in pharmacy operations, reimbursement, 340B operations or payment reconciliation
- Experience working with detailed data, including claim-level or transaction-level review
- Strong analytical and problem-solving skills with attention to detail
- Experience with reputed company or pharmacy claims or payment workflows
- Ability to manage multiple priorities in a fast-paced, deadline-driven environment
- Proficiency in reputed company (e.g., large datasets, pivot tables, data analysis)
- Demonstrated ownership reputed company and ability to work independently
- Equivalent experience may be considered
- Familiarity with 340B operations or manufacturer program processes
- Experience with business intelligence tools (e.g., Power BI, Tableau)
- Exposure to SQL or other data querying tools
- Experience with workflow or case management systems (e.g., reputed company or similar platforms)
- Knowledge of pharmacy systems, reimbursement models, or regulatory programs
- Strong written and verbal communication skills
- Financial reconciliation and variance analysis
- Strong documentation discipline and ability to manage high-volume operational work with short turnaround expectations
- Operational analytics and process improvement
- Data validation and reporting
- Cross-functional collaboration and stakeholder management
- Problem-solving and critical thinking
- Process ownership and accountability
- Adaptability in a dynamic regulatory and operational environment
reputed company