Pharmacy Business and Contracting Analyst - Pharmacy - UH Truman Medical Center (5 days per week; 8:00a-4:30p; Onsite Mon-Fri)
Description
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Pharmacy Business and Contracting Analyst - Pharmacy - UH Truman Medical Center (5 days per week; 8:00a-4:30p; Onsite Mon-Fri)
101 Truman Medical Center
Job Location
University Health Truman Medical Center
Kansas City, Missouri
Department
Pharmacy Inpatient UHTMC
Position Type
Full time
Work Schedule
8:00AM - 4:30PM
Hours Per Week
40
Job Description
Pharmacy Business & Contract Analyst
We are seeking a strategic and analytically driven Pharmacy Business & Contract Analyst to support revenue optimization, payer relationships, and contract performance across the health system’s pharmacy services. This role serves as a key liaison between pharmacy operations, payers, and leadership—driving data-informed decision-making and ensuring compliance with contractual and regulatory requirements.
Role Overview
The Pharmacy Business & Contract Analyst is responsible for managing pharmacy-related contracts, supporting revenue cycle performance, and delivering actionable insights through financial and operational analysis. This role plays a critical part in identifying opportunities to enhance reimbursement, improve efficiency, and strengthen payer performance across the organization.
Key Responsibilities
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Manage and support pharmacy contracting activities, ensuring compliance with payer requirements and internal policies
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Analyze payer performance, reimbursement trends, and contract compliance to identify risks and opportunities
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Conduct financial audits and business analyses to support revenue integrity and operational efficiency
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Serve as the primary point of contact for pharmacy-related payer inquiries, issue resolution, and relationship management
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Maintain provider manuals, payer databases, and contract documentation (paper and electronic)
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Develop, prepare, and maintain data analytics and reporting tools for leadership and operational teams
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Provide recommendations for process improvements, workflow optimization, and revenue enhancement
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Support training and education related to contracts, reimbursement, and billing practices
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Ensure compliance with regulatory standards, including HIPAA and government payer requirements
Minimum Qualifications
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Doctor of Pharmacy (PharmD) or Registered Pharmacist with equivalent experience
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Minimum of 5 years of pharmacy practice experience
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Current licensure as a Pharmacist in the State of Missouri
Preferred Qualifications
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Master’s degree in Public Health, Business Administration, Health Administration, Health Informatics, Accounting, or related field
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Experience in pharmacy, insurance, or healthcare business environments involving contracts and third-party payers
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Knowledge of Medicare, Medicaid, HIPAA, and reimbursement practices
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Familiarity with electronic claims processing and revenue cycle operations
Ideal Candidate Profile
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Strong analytical and financial acumen with attention to detail
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Ability to translate complex data into actionable insights
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Excellent communication and stakeholder management skills
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Proactive problem-solver with a focus on continuous improvement and business outcomes