Pharmacy Business and Contracting Analyst - Pharmacy - UH Truman Medical Center (5 days per week; 8:00a-4:30p; Mon-Fri)

Job Description

The Pharmacy Business & Contract Analyst supports revenue optimization, payer relationships, and contract performance across the health system's pharmacy services. This role drives data-informed decision-making and ensures compliance with contractual and regulatory requirements.

Key Responsibilities

• Manage and support pharmacy contracting activities, ensuring compliance with payer requirements and internal policies
• Analyze payer performance, reimbursement trends, and contract compliance to identify risks and opportunities
• Conduct financial audits and business analyses to support revenue integrity and operational efficiency
• Serve as the primary point of contact for pharmacy-related payer inquiries, issue resolution, and relationship management
• Maintain provider manuals, payer databases, and contract documentation (paper and electronic)
• Develop, prepare, and maintain data analytics and reporting tools for leadership and operational teams
• Provide recommendations for process improvements, workflow optimization, and revenue enhancement
• Support training and education related to contracts, reimbursement, and billing practices
• Ensure compliance with regulatory standards, including HIPAA and government payer requirements

Minimum Qualifications

• Doctor of Pharmacy (PharmD) or Registered Pharmacist with equivalent experience
• Minimum of 5 years of pharmacy practice experience
• Current licensure as a Pharmacist in the State of Missouri

Preferred Qualifications

• Master’s degree in Public Health, Business Administration, Health Administration, Health Informatics, Accounting, or related field
• Experience in pharmacy, insurance, or healthcare business environments involving contracts and third-party payers
• Knowledge of Medicare, Medicaid, HIPAA, and reimbursement practices
• Familiarity with electronic claims processing and revenue cycle operations

Ideal Candidate Profile

• Strong analytical and financial acumen with attention to detail
• Ability to translate complex data into actionable insights
• Excellent communication and stakeholder management skills
• Proactive problem-solver with a focus on continuous improvement and business outcomes