Pharmacy Analytics Director

A company is looking for a Director of Pharmacy Analytics.

Key Responsibilities :

Develop and execute strategic direction for pharmacy operations to improve payment integrity and reimbursement accuracy

Lead and mentor a team of pharmacy professionals to align with organizational objectives

Utilize analytics to identify payment errors and implement solutions to reduce costs in pharmacy claims processing

Required Qualifications :

Education : PharmD, with a Managed Care Residency preferred

Minimum of 6 - 8 years of experience in pharmacy operations or pharmacy benefit management, with at least 3 years in a leadership role

Strong expertise in pharmacy claims auditing and fraud detection

Experience with healthcare regulatory frameworks such as CMS and HIPAA

Background in using data analytics or business intelligence tools for pharmacy claims management