Pharmacy Operations Analyst

Pharmacy Operations Analyst

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

As a Pharmacy Operations Analyst, you will focus on establishing and refining operational processes related to CMS, federal, state, and BCBSA requirements for Commercial, Medicare and Medicaid products. In this position you will support an oversight structure of the departmental and key stakeholder activities.

Core responsibilities will involve operational management and oversight of pharmacy operations and support activities. Draft and maintain procedures related to core job responsibilities.

Collaboratively work with internal and external partners, clients, and vendors. Intake, manage, and resolve inquiries, issues, or requests for information received from members, BCBSA, CMS/DHS/DOC/MDH/ERISA and/or any other channel. Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Required skills and experience include 3+ years of related pharmacy services professional experience. A Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred skills and experience include the ability to tailor communication to varied audiences, actively listen to uncover requirements, and ensure accurate and timely information exchange. Ability to analyze information, identify patterns and root causes, and collaborate with partners to implement practical solutions. Ability to effectively organize work, balance competing priorities, and manage time across multiple responsibilities and deadlines. Experience and knowledge of pharmacy operations, including PBM, health plan, retail, specialty, or medical pharmacy. Experience in triaging and resolving inquiries associated to claims and benefits. Experience working Commercial, Medicare, and/or Medicaid. Experience working with members/clients/patients on the phone.

Hybrid role designation. Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

$68,900.00 - $91,300.00 - $113,700.00 Annual. Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job. We offer a comprehensive benefits package which may include: Medical, dental, and vision insurance; Life insurance; 401k; Paid Time Off (PTO); Volunteer Paid Time Off (VPTO); And more. To discover more about what we have to offer, please review our benefits page.

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic. Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: View email address on click.appcast.io.