Pharmacy Purchasing Analyst

Job not on LinkedIn

🔥 17 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛒 Procurement

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ExactCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2009

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 Private Equity Round on 2016-03

Healthcare Insurance • Pharmaceuticals

ExactCare is a leading pharmacy care management provider that specializes in medication management for individuals with complex, chronic medical needs. With operations in all 50 states and Washington, D. C. , ExactCare supports more than 100,000 people nationwide, helping them manage their medications in assisted living, long-term care facilities, and at home. Partnering with healthcare organizations, ExactCare aims to improve clinical outcomes by ensuring better medication adherence, reducing readmissions, and lowering overall healthcare costs.

📋 Description

• Partner with Pharmacy Operations, Purchasing, Payer Relations, Finance, and IT teams to develop data-driven solutions that improve drug purchasing performance, optimize payer reimbursement outcomes, and support strategic decision-making across the organization • Collect, analyze, interpret, and present complex pharmacy, claims, purchasing, and financial data • Design reporting frameworks, identify opportunities for cost savings and margin improvement, automate business processes, and support the organization's growing data science and analytics capabilities • Design, implement, and maintain Cost of Goods Sold (COGS) and drug purchasing analyses across all pharmacy locations • Develop and manage reporting that supports purchasing strategy, inventory optimization, and vendor performance management • Analyze drug purchasing records for pricing discrepancies, contract compliance issues, rebate opportunities, and vendor changes • Identify and recommend purchasing strategies to optimize performance against wholesaler and manufacturer contracts • Create and maintain daily, monthly, quarterly, and annual payer and PBM performance reports for Payer Relations, Finance, and Operations teams • Analyze reimbursement trends, payer contract performance, and other pharmacy reimbursement metrics • Support payer contract negotiations by providing financial modeling, reimbursement analyses, and performance insights • Collect, validate, cleanse, and analyze large healthcare, claims, purchasing, and operational datasets • Develop recurring reports, scorecards, and dashboards using business intelligence tools • Apply statistical techniques, predictive analytics, and machine learning methods to healthcare and pharmacy datasets • Build scalable analytical solutions that support organizational growth and evolving business needs • Collaborate with Pharmacy Operations, Purchasing, Payer Relations, Finance, and IT teams and present findings, recommendations, and business insights to stakeholders at multiple levels of the organization

🎯 Requirements

• Bachelor's degree in Data Analytics, Statistics, Mathematics, Computer Science, Information Systems, Healthcare Administration, Finance, Economics, or a related field required • Master's degree preferred • 3+ years of experience in healthcare, pharmacy, managed care, PBM, payer analytics, financial analytics, or related analytical environments • Experience working with healthcare claims, pharmacy dispensing data, reimbursement data, drug purchasing data, and pharmacy financial performance metrics • Experience performing PBM contract analytics, reimbursement modeling, payer performance analysis, and contract profitability assessments • Experience analyzing pharmacy reimbursement methodologies, including NADAC, AWP, WAC, MAC pricing, dispensing fees, rebates, and other pharmacy pricing and reimbursement components • Experience developing dashboards, automated reporting solutions, forecasting models, and analytical tools to support business decision-making • Experience collaborating with business, operational, financial, and technical stakeholders • Experience with statistical analysis, predictive modeling, and data science methodologies preferred • Advanced proficiency in Microsoft Excel, including Power Query, PivotTables, complex formulas, and financial modeling • Strong SQL and database management skills • Experience with Python for data analysis, automation, statistical modeling, and machine learning • Experience with Databricks or similar cloud-based analytics platforms • Experience with business intelligence and visualization tools such as Tableau, Power BI, or similar platforms • Familiarity with data science libraries and tools such as Pandas, NumPy, Scikit-learn, Jupyter Notebooks, and related technologies • Strong understanding of pharmacy operations, drug purchasing, reimbursement methodologies, and payer/PBM contracting • Knowledge of PBM contract structures, reimbursement formulas, generic effective rate calculations, spread pricing, audit processes, and contract performance monitoring • Understanding of pharmacy financial metrics, including Cost of Goods Sold (COGS), Cost-to-Fill, gross margin analysis, reimbursement variance analysis, and profitability modeling • Knowledge of pharmaceutical pricing benchmarks, including NADAC, AWP, WAC, MAC pricing, and their impact on pharmacy purchasing and reimbursement performance • Strong analytical and problem-solving skills with exceptional attention to detail • Ability to interpret complex datasets and translate findings into actionable business recommendations • Excellent verbal, written, and presentation skills • Ability to manage multiple priorities and meet deadlines in a fast-paced environment • Strong organizational and project management skills • Ability to work independently and collaboratively across departments.

🏖️ Benefits

• medical/dental/vision • flexible spending • company-paid life insurance and short-term disability • voluntary benefits • 401(k) • Paid Time Off • paid holidays