Title: Pharmacy Operations Analyst
Location: 100% Remote (EST Hours)
Duration: 6 Months
Schedule: Monday - Friday
Shift: 9:00 AM - 6:00 PM EST
Job Summary
Seeking a Pharmacy Operations Analyst to support Medicaid formulary and pharmacy benefit implementations within a PBM environment. The ideal candidate will have experience with formulary management, pharmacy claims, prior authorization programs, and advanced Excel skills.
Key Responsibilities
Analyze formulary and pharmacy benefit requirements.
Review drug files and formulary changes.
Create implementation documentation and operational specifications.
Partner with pharmacists, testing, configuration, and operations teams.
Validate implementation results and resolve issues.
Maintain audit-ready documentation and support process improvements.
Qualifications
2+ years of PBM, pharmacy operations, pharmacy claims, or formulary experience.
Knowledge of Medicaid/commercial pharmacy benefits, NDCs, prior authorization, step therapy, and quantity limits.
Strong Excel skills including VLOOKUP, formulas, and data analysis.
Excellent analytical, documentation, and problem-solving abilities.
Bachelor's degree and Pharmacy Technician Certification preferred.
Work Environment
Fully remote, fast-paced PBM environment requiring strong attention to detail, multitasking skills, and occasional after-hours or weekend support to meet implementation deadlines.