Business Analyst-Pharmacy & Technology

PharMerica

PharMerica a part of Brightspring Health Services is a longterm care pharmacy services provider that supplies medications clinical support and pharmacy management to healthcare organizations across the United States.

We are a non-retail pharmacy that focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals rehabilitation facilities long-term acute care centers and other specialized care centers nationwide. Our organization is in high growth mode which can provide opportunities for advancement for individuals looking for career progression!

The Business Analyst serves as the critical bridge between long-term care (LTC) pharmacy operations and our IT partners and technology vendors. This role is responsible for identifying analyzing and championing process improvement opportunities across pharmacy operations including order entry fulfillment claims adjudication billing and clinical workflows and translating those opportunities into clear actionable business requirements user stories and functional specifications for technical delivery teams.

The ideal candidate is equally comfortable on the pharmacy floor and in a sprint planning session: someone who can shadow a technician to map a workflow in the morning and write acceptance criteria for a developer in the afternoon. This person doesnt just document what the business asks for they ask why challenge assumptions quantify the opportunity and ensure the delivered solution actually solves the problem.

Schedule: Monday - Friday hours per business needs

Remote Opportunity. May live anywhere within the Continental USA

Benefits and perks for You!

• Medical Dental Vision insurance
• Health Savings & Flexible Spending Accounts (up to $5000 for childcare)
• Tuition discounts & reimbursement
• 401(k)
• Company Paid Time Off*
• Shift Differential
• DailyPay
• Pet Insurance
• Employee wellness and discount programs

*Benefits may vary by employment status

• Process Improvement & Opportunity Identification
  • Proactively identifies analyzes and prioritizes process improvement and automation opportunities across LTC pharmacy operations (order entry dispensing fulfillment delivery claims adjudication billing/revenue cycle and regulatory compliance workflows)
  • Conducts current-state / future-state process analysis including workflow observation stakeholder interviews process mapping (e.g. swim-lane diagrams value stream maps) and root cause analysis
  • Quantifies improvement opportunities through cost/benefit analysis ROI modeling and business case development to support prioritization and executive decision-making
  • Defines baselines and tracks key performance indicators (KPIs) and operational metrics to measure process health and validate benefits realized post-implementation
  • Analyzes operational data (production volumes error rates turnaround times rework claim rejections) to surface trends anomalies and opportunities
• Business Requirements & User Story Development
  • Elicits analyzes documents and validates business requirements through interviews workshops job shadowing surveys and data analysis
  • Translates business needs into well-formed deliverables for IT partners and vendors: business requirements documents (BRDs) functional specifications user stories with acceptance criteria use cases and process flow diagrams
  • Decomposes complex or ambiguous business problems into clearly scoped testable requirements
  • Maintains and grooms requirement backlogs; partner with product owners project managers and development teams to prioritize work based on business value
  • Manages requirements traceability from initial request through design build test and deployment; assess and communicate impacts of scope changes
• Stakeholder Engagement & IT/Vendor Liaison
  • Serves as the primary liaison between pharmacy operations stakeholders and internal IT teams and external technology vendors
  • Facilitates requirements workshops design reviews and working sessions with cross-functional audiences ranging from front-line pharmacy staff to executive leadership
  • Translates between business and technical languages ensuring operations understands technical constraints and trade-offs and IT/vendors understand operational context urgency and regulatory realities
  • Builds and maintains productive relationships with vendor partners; participate in vendor solution evaluations gap analyses and configuration decisions
  • Communicates project status risks decisions and open items clearly and proactively to stakeholders at all levels
• Data Analysis & Reporting
  • Performs ad-hoc and recurring data analysis to support decision-making using tools such as Excel SQL and Power BI
  • Designs and maintains dashboards and reports that give operational and executive audiences visibility into process performance
  • Ensures data quality and consistency in analyses; document data definitions sources and logic

• Required Qualifications
  • Bachelors degree in Business Healthcare Administration Information Systems or related field or equivalent practical experience
  • 3 years of business analysis process improvement or related analytical experience
  • Demonstrated experience eliciting and documenting business requirements functional specifications and/or user stories with acceptance criteria
  • Experience working directly with IT teams and/or software vendors through a full solution lifecycle (analyze design build test implement support)
  • Strong proficiency with Microsoft Office suite including advanced Excel (pivot tables lookups data analysis); proficiency with Visio or equivalent process mapping tools
  • Proven ability to analyze data draw insights and make business recommendations that influence stakeholders
  • Excellent written and verbal communication skills with demonstrated ability to communicate effectively with both technical and non-technical audiences including senior leadership
  • Strong organizational skills with the ability to manage multiple concurrent initiatives and deal with ambiguity in a fast-paced environment
• Preferred Qualifications
  • Experience in pharmacy operations long-term care pharmacy PBM or healthcare claims/revenue cycle
  • Familiarity with pharmacy systems (e.g. Framework LTC DocuTrack PrimeCare QS/1) and/or pharmacy claims adjudication (NCPDP standards rejection codes GPI/NDC constructs)
  • Working knowledge of SQL Power BI or other query/visualization tools
  • Knowledge of SDLC and both Agile/Scrum and Waterfall delivery methodologies; experience with Jira Azure DevOps or similar backlog management tools
  • Lean Six Sigma training or certification (Green Belt or higher)
  • Business analysis certification (CBAP CCBA PMI-PBA) or Scrum certification (CSPO PSPO)
  • Understanding of healthcare regulatory frameworks relevant to LTC pharmacy (HIPAA CMS requirements state board of pharmacy regulations)
  • Experience supporting automation AI/ML or workflow technology initiatives in an operations environment