Unknown Company

Wisconsin Licensed Pharmacy Analyst

workfromhome • Posted 6 days ago
Remote Full Time Healthcare Practitioners and Technical Occupations

Working remotely within Wisconsin, the full-time Senior Pharmacy Analyst will assess and maintain the drug reference file, collaborate with policy and clinical teams, and analyze drug coverage and reimbursement policies for Medicaid. Key responsibilities Manage the assessment and ongoing maintenance of the drug reference file within Wisconsin's Medicaid Management Information System (MMIS) Collaborate with policy analysts, systems analysts, and clinical staff to develop and implement drug coverage policies Analyze proposed changes to the drug reference file and propose initiatives to improve its quality and efficiency Required qualifications 6+ years of experience as a Business Analyst in the Healthcare/Pharmacy Industry, including 3+ years of Medicaid and Medicare experience Experience with pharmacy reimbursement and understanding of drug coverage rules Familiarity with National Drug Codes (NDC) and drug claims processes Experience as a systems business analyst Access database and Medicaid Pharmacy Benefit experience is a plus

Back to Job Search