Wisconsin Licensed Pharmacy Analyst

Job Summary

To support healthcare improvements, the remote Senior Pharmacy Analyst will assess and maintain the drug reference file, collaborate with policy and clinical teams, and analyze drug coverage policies, requiring extensive experience in the healthcare and pharmacy sectors.

Key responsibilities:

• Assess and maintain the drug reference file for outpatient drugs and physician-administered drugs
• Collaborate with policy analysts, systems analysts, and clinical staff to develop and implement drug coverage and reimbursement policies
• Analyze proposed changes to the drug reference file and propose initiatives for quality and efficiency improvements

Required qualifications:

• 6+ years of experience as a Business Analyst in the Healthcare/Pharmacy Industry, including 3+ years of Medicaid and Medicare experience
• Experience with pharmacy reimbursement and understanding of drug coverage rules
• Familiarity with National Drug Codes (NDC) and drug claims processes
• Experience as a systems business analyst
• Access database and Medicaid Pharmacy Benefit experience is a plus