Pharmacy Analyst - Cleveland, Ohio, United States
1 day ago
Job description
Job Summary: We are seeking an analytical and operationally focused Pharmacy Analyst to join our pharmacy consulting team. This role supports the operational, clerical, and compliance functions of the pharmacy department to ensure smooth, efficient, and accurate workflow. This role assists with documentation, scheduling, request for proposal coordination, data entry, and communication between pharmacy benefit managers, client service teams and our pharmacy consultant and clinical pharmacist. Responsibilities include maintaining paperwork, audit documentation, processing billing and invoicing information, and supporting pharmacy leadership with reporting and administrative projects. The ideal candidate is detail‑oriented, organized, and skilled in customer service, multitasking, and working within pharmacy benefit managers. This role is essential for maintaining operational excellence and enabling pharmacists and consultants to focus on clinical and patient‑care priorities.
Key Responsibilities:
· Support pharmacy benefit consulting teams by preparing and organizing documentation for client meetings, RFP responses, and strategic pharmacy program reviews.
· Assist in analyzing pharmacy claims data to identify utilization trends, cost drivers, and opportunities for benefit optimization.
· Coordinate benefit design updates, formulary changes, and policy documentation for employer groups or health plan clients.
· Manage client communication regarding pharmacy benefit questions, formulary clarifications, and plan performance metrics.
· Compile reports for clients outlining claim outcomes, high‑cost medication impacts, and year‑over‑year pharmacy spend comparisons.
· Support consultants during audits and pharmacy benefit reviews by organizing information, claims extracts, and required documentation.
· Facilitate data requests and data reconciliations between client partners, PBMs, and internal analytics teams to support modeling, forecasting, and pricing initiatives.
· Monitored service-level agreement (SLA) performance for PBM partners and escalated issues impacting client experience or benefit accuracy.
· Assisted with benchmarking projects comparing pharmacy programs and pricing against industry standards, employer groups, and peer markets.
·
· Ensured all documentation and communications adhered to HIPAA and regulatory requirements when handling PHI.
· Provided administrative coordination for pharmacy-related projects, including meeting scheduling, timeline tracking, and deliverable management.
· Conduct ad hoc analyses based on client or broker requests.
Qualifications:
· Education & Credentials:
Bachelor of Science in Business, Healthcare Administration, or Economics
Relevant Coursework: Healthcare Finance, Data Analytics, Health Policy, Pharmacy Benefit Management
· Experience:
· –5 years of experience in pharmacy benefits, PBM operations, pharmacy analytics or pharmacy consulting.
· Experience working with or for a PBM, health plan, or benefits consulting firm is highly desirable.
· Experience working with large data sets
· Skills:
· Strong analytical and financial acumen.
· Proficiency in Excel (pivot tables, formulas, charts) and data visualization tools (e.g., Tableau, Power BI).
· Excellent written and verbal communication skills.
· Ability to manage multiple projects and deadlines in a fast-paced environment
Who You Are:
· Exceptionally organized, with the agility to move between projects quickly.
· A logical problem-solver who works independently and takes initiative.
· Consistently positive and professional, leading by example even under pressure.
· A strong communicator, both verbally and in writing, with a client-first mindset.
Similar jobs
· Job Summary: We are seeking an analytical and operationally focused Pharmacy Analyst to join our pharmacy consulting team. This role supports the operational, clerical, and compliance functions of the pharmacy department to ensure smooth, efficient, and accurate workflow. This ...
13 hours ago
We are seeking an analytical and operationally focused Pharmacy Analyst to join our pharmacy consulting team. This role supports the operational, clerical, and compliance functions of the pharmacy department to ensure smooth, efficient, and accurate workflow. · Support pharmacy b ...
1 day ago
We are seeking an analytical and operationally focused Pharmacy Analyst to join our pharmacy consulting team. · This role supports the operational, clerical, and compliance functions of the pharmacy department to ensure smooth, efficient, and accurate workflow. ...
3 days ago
Under direct supervision, delivers analysis of data and reports for clients and internal staff that identify actionable opportunities to improve appropriate use of medical and pharmacy benefit drugs to lower total costs of care. · ...
1 month ago
The Pricing Analyst works within the Financial, · Actuarial and Analytics (FAA) team and closely with · the Pharmacy Practice within Health and Benefits.Partner with consultants · & team members to perform financial analyses including cost savings · & data analysis projections r ...
4 weeks ago
Join Cleveland Clinic and experience world-class healthcare at its best. Here, you will work alongside a dedicated team of caregivers, receive endless support and appreciation, and build a rewarding career. · ...
1 month ago
This position participates in the design development implementation evaluation and modification of healthcare information systems. A caregiver in this role works Tues Wed 8:00AM-5:00PM Thurs 8:00am—12:00pm. · Interact with end-users as required to assist in problem definition and ...
2 weeks ago
Arrow Healthcare Staffing is seeking a travel Cath Lab Technologist for a travel job in Cleveland Ohio with ASAP start date and duration of 13 weeks with pay package based on tax free stipend amount to be determined. · Medical benefits · Vision benefits · Dental benefits · ...
1 week ago
Arrow Healthcare Staffing is seeking a travel Cath Lab Technologist for a 13-week assignment in Cleveland, Ohio. The technologist will work 40 hours per week on 10-hour shifts with tax-free stipend and benefits starting day one. · Cath lab experience required · ...
1 week ago
The Quality Assurance Analyst role executes Quality Assurance related tasks for In-Clinic & Pharmacy · Quality Assurance (QA). This role works closely with and under the leadership of the Quality · Audit Supervisor to Ensure that procedural and operational practices are execute ...
4 days ago
This is a remote position – must live in OH, FL or NV and near a Cleveland Clinic Location for some onsite IT items. · Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. · The Beaker CPI Systems Analyst is a ha ...
3 weeks ago
+This is a remote position – must live in OH, FL or NV and near a Cleveland Clinic Location for some onsite IT items. · The Beaker CPI Systems Analyst is a hands-on, problem-solving role focused on supporting and optimizing clinical laboratory information systems, · +You will ser ...
2 weeks ago
+ Beaker CPI Systems Analyst is a remote position – must live in OH, FL or NV and near a Cleveland Clinic Location for some onsite IT items. · Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. · The Beaker CPI ...
3 weeks ago
Join the Cleveland Clinic team to work alongside passionate caregivers and provide patient-first healthcare. · ...
3 days ago
+The Quality Assurance Analyst role executes Quality Assurance related tasks for In-Clinic & Pharmacy Quality Assurance (QA).+ · +Execute day-to-day Quality Assurance activities to ensure products, suppliers, and processes comply with regulatory requirements and internal quality ...
3 days ago
The Regulatory Labeling Analyst supports regulatory compliance activities related to Covetrus North America's growing portfolio of private brand products. · Review and approve product packaging and labeling to ensure it meets Covetrus brand and regulatory standards. · Maintain aw ...
1 month ago
Under limited supervision, applies medical necessity guidelines in making authorization determinations for inpatient admissions concurrent and retrospective reviews in collaboration with physician reviewers. Applies evidence-based discharge planning so that patients have a safe a ...
1 month ago
We are seeking a talented Analyst responsible for assisting and supporting the Strategic Sourcing Team in Cleveland, OH or Toronto.This role requires a balance of analytical expertise ownership adaptability in fast-paced environment detail-oriented proactive comfortable working i ...
1 month ago
BWC conducts an internal engagement survey on an annual basis. · Serve as a technical resource for identifying fraudulent activity by developing criteria, detection models, and analytical approaches that surface high‑risk behaviors across claims, providers, employers, and injured ...
3 days ago
Serve as a technical resource for identifying fraudulent activity by developing criteria detection models analytical approaches surface high risk behaviors across claims providers employers injured workers conduct complex data mining outlier analysis trend identification large st ...
3 days ago