Pharmacy Business Analyst

Responsibilities

Analyzes pharmacy financial, operational, procurement, reimbursement, and drug utilization data to support budgeting, cost management, margin optimization, 340B program monitoring, and business intelligence across the pharmacy enterprise including both inpatient and outpatient pharmacy services. Develops reports, forecasts, and analytical tools to support pharmacy leadership decision-making and financial performance.

·         Financial Analysis and Budget Management: Support inpatient and outpatient pharmacy budgeting, monthly budget-to-actual analysis, variance investigation, financial forecasting, and expenditure monitoring. Identify financial trends, explain variances, and communicate findings to pharmacy leadership.

·         340B Program Analytics and Audit Support: Analyze 340B purchasing, utilization, and split-billing data to identify discrepancies and potential compliance concerns. Support reconciliation, routine monitoring, audit readiness, documentation, and exception tracking in collaboration with the 340B Program Manager.

·         Margin Analysis and Revenue Optimization: Analyze financial performance for high-cost outpatient medications, specialty pharmacy, infusion services, and other applicable pharmacy operations. Evaluate drug acquisition costs, reimbursement, payer performance, denials, and other relevant factors affecting margins. Partner with Finance and Revenue Cycle to identify improvement opportunities.

·         Cost Containment and Utilization Analysis: Evaluate drug expenditures, purchasing trends, medication utilization, inventory, and contract performance to identify cost-saving opportunities. Support financial assessments of formulary changes, purchasing arrangements, and operational improvement initiatives.

·         Business Intelligence and Reporting: Develop and maintain reports, dashboards, key performance indicators, and forecasting models to monitor pharmacy financial and operational performance. Validate data accuracy, improve reporting processes, and translate complex information into actionable insights.

·         Cross-Functional Collaboration and Strategic Analysis: Collaborate with pharmacy leadership, Finance, Revenue Cycle, Supply Chain, Information Technology, and other stakeholders on financial analysis, forecasting, process improvement, and strategic initiatives. Analysts may have designated primary areas of emphasis but are expected to support all functions within the job profile and provide cross-coverage as needed.

Bachelor's degree in finance, accounting, business analytics, business administration, healthcare administration, health informatics or equivalent combination of education and experience preferred.

3 years of relevant professional experience in healthcare analytics, financial analysis, pharmacy operations, 340B regulations or business intelligence preferred.

Apexus 340B-related certification or relevant data analytics, financial analysis, or business intelligence certification preferred.

·         Strong analytical, quantitative, critical-thinking, and problem-solving skills with attention to detail and data accuracy required.

·         Advanced proficiency in Microsoft Excel and Microsoft Office applications required.

·         Knowledge of basic accounting, budgeting, financial reporting, forecasting, data reconciliation, and dashboard development preferred.

·         Knowledge of pharmacy purchasing, drug utilization, reimbursement, margin analysis, and healthcare financial systems preferred.

·         Familiarity with 340B program operations, split-billing software, electronic health records, pharmacy systems, and wholesaler platforms preferred.

·         Effective written, verbal, and presentation skills, with the ability to communicate findings to clinical, operational, and financial stakeholders.

·         Ability to manage multiple priorities, work independently and collaboratively, maintain appropriate documentation, and support cross-functional analytical responsibilities.

Qualifications

• Bachelor's degree in finance, accounting, business analytics, business administration, healthcare administration, health informatics or equivalent combination of education and experience preferred.

• 3 years of relevant professional experience in healthcare analytics, financial analysis, pharmacy operations, 340B regulations or business intelligence preferred.

• Apexus 340B-related certification or relevant data analytics, financial analysis, or business intelligence certification preferred.

·         Strong analytical, quantitative, critical-thinking, and problem-solving skills with attention to detail and data accuracy required.

·         Advanced proficiency in Microsoft Excel and Microsoft Office applications required.

·         Knowledge of basic accounting, budgeting, financial reporting, forecasting, data reconciliation, and dashboard development preferred.

·         Knowledge of pharmacy purchasing, drug utilization, reimbursement, margin analysis, and healthcare financial systems preferred.

·         Familiarity with 340B program operations, split-billing software, electronic health records, pharmacy systems, and wholesaler platforms preferred.

·         Effective written, verbal, and presentation skills, with the ability to communicate findings to clinical, operational, and financial stakeholders.

·         Ability to manage multiple priorities, work independently and collaboratively, maintain appropriate documentation, and support cross-functional analytical responsibilities.