Job Summary

A company is looking for a Pharmacy Operations Analyst.

Key Responsibilities:

• Manage pharmacy customer service oversight, including quality reviews, metrics, and reporting
• Assist with fraud, waste, and abuse investigations
• Intake, manage, and resolve inquiries, issues, and audits from various stakeholders

Required Qualifications:

• Bachelor's Degree preferred
• 5 years of experience with pharmacy claims and benefits
• 5 years of experience with pharmacy claim adjudication systems
• 3 years of experience in Medicare Advantage
• 7 years of professional experience in Pharmacy at a health plan or PBM