Pharmacy Purchasing Analyst
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Job Description
Data Analyst responsible for data-driven solutions in pharmacy purchasing and payer analytics. Collaborating with multiple departments to optimize performance and support decision-making.
Responsibilities:
- Partner with Pharmacy Operations, Purchasing, Payer Relations, Finance, and IT teams to develop data-driven solutions that improve drug purchasing performance, optimize payer reimbursement outcomes, and support strategic decision-making across the organization
- Collect, analyze, interpret, and present complex pharmacy, claims, purchasing, and financial data
- Design reporting frameworks, identify opportunities for cost savings and margin improvement, automate business processes, and support the organization's growing data science and analytics capabilities
- Design, implement, and maintain Cost of Goods Sold (COGS) and drug purchasing analyses across all pharmacy locations
- Develop and manage reporting that supports purchasing strategy, inventory optimization, and vendor performance management
- Analyze drug purchasing records for pricing discrepancies, contract compliance issues, rebate opportunities, and vendor changes
- Identify and recommend purchasing strategies to optimize performance against wholesaler and manufacturer contracts
- Create and maintain daily, monthly, quarterly, and annual payer and PBM performance reports for Payer Relations, Finance, and Operations teams
- Analyze reimbursement trends, payer contract performance, and other pharmacy reimbursement metrics
- Support payer contract negotiations by providing financial modeling, reimbursement analyses, and performance insights
- Collect, validate, cleanse, and analyze large healthcare, claims, purchasing, and operational datasets
- Develop recurring reports, scorecards, and dashboards using business intelligence tools
- Apply statistical techniques, predictive analytics, and machine learning methods to healthcare and pharmacy datasets
- Build scalable analytical solutions that support organizational growth and evolving business needs
- Collaborate with Pharmacy Operations, Purchasing, Payer Relations, Finance, and IT teams and present findings, recommendations, and business insights to stakeholders at multiple levels of the organization
Requirements:
- Bachelor's degree in Data Analytics, Statistics, Mathematics, Computer Science, Information Systems, Healthcare Administration, Finance, Economics, or a related field required
- Master's degree preferred
- 3+ years of experience in healthcare, pharmacy, managed care, PBM, payer analytics, financial analytics, or related analytical environments
- Experience working with healthcare claims, pharmacy dispensing data, reimbursement data, drug purchasing data, and pharmacy financial performance metrics
- Experience performing PBM contract analytics, reimbursement modeling, payer performance analysis, and contract profitability assessments
- Experience analyzing pharmacy reimbursement methodologies, including NADAC, AWP, WAC, MAC pricing, dispensing fees, rebates, and other pharmacy pricing and reimbursement components
- Experience developing dashboards, automated reporting solutions, forecasting models, and analytical tools to support business decision-making
- Experience collaborating with business, operational, financial, and technical stakeholders
- Experience with statistical analysis, predictive modeling, and data science methodologies preferred
- Advanced proficiency in Microsoft Excel, including Power Query, PivotTables, complex formulas, and financial modeling
- Strong SQL and database management skills
- Experience with Python for data analysis, automation, statistical modeling, and machine learning
- Experience with Databricks or similar cloud-based analytics platforms
- Experience with business intelligence and visualization tools such as Tableau, Power BI, or similar platforms
- Familiarity with data science libraries and tools such as Pandas, NumPy, Scikit-learn, Jupyter Notebooks, and related technologies
- Strong understanding of pharmacy operations, drug purchasing, reimbursement methodologies, and payer/PBM contracting
- Knowledge of PBM contract structures, reimbursement formulas, generic effective rate calculations, spread pricing, audit processes, and contract performance monitoring
- Understanding of pharmacy financial metrics, including Cost of Goods Sold (COGS), Cost-to-Fill, gross margin analysis, reimbursement variance analysis, and profitability modeling
- Knowledge of pharmaceutical pricing benchmarks, including NADAC, AWP, WAC, MAC pricing, and their impact on pharmacy purchasing and reimbursement performance
- Strong analytical and problem-solving skills with exceptional attention to detail
- Ability to interpret complex datasets and translate findings into actionable business recommendations
- Excellent verbal, written, and presentation skills
- Ability to manage multiple priorities and meet deadlines in a fast-paced environment
- Strong organizational and project management skills
- Ability to work independently and collaboratively across departments.
Benefits:
- medical/dental/vision
- flexible spending
- company-paid life insurance and short-term disability
- voluntary benefits
- 401(k)
- Paid Time Off
- paid holidays
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