Top 6 Pharmaceutical analyst Jobs in Columbus

Pharmacy Program Optimization Analyst
AndHealth —Columbus, OH
- Full-time
- Computer Science
- Mid-level
- SQL
- Disability insurance
- Health insurance
Quick Apply
16h
Quality Control, Raw Material Analyst II
Forge Biologics —Columbus, OH
- Full-time
- Mid-level
- Ability to lift 50 pounds
- Associate's degree
- Paid parental leave
- Disability insurance
Quick Apply
8d
Senior Project Controls Analyst
ACCO Engineered Systems —Columbus, OH
- Overtime
- Construction site
- Ability to walk for extended periods
- 3 years
- Employee stock ownership plan
Clinical Pharmacist Analyst
Healthplan Data Solutions Inc. —Columbus, OH
- Full-time
- Hybrid work
- 5 years
- SQL
- Analysis skills
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Quality Control, Raw Material Analyst II
Forge Biologics —Columbus, OH
Whether you're scaling AAV manufacturing, collaborating on cutting-edge therapies, or supporting complex technical projects, you'll play a key role in bringing…
Quick Apply
8d
Quality Control/ Safety Tech - Commercial Roofing
Fox Enterprise Services —Columbus, OH
Quality Control & Safety role ensures compliance with project standards, and safety protocols (OSHA, fall protection) through site inspections, documentation,…
$50,000 - $65,000 a year
Quick Apply
7d

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Pharmacy Program Optimization Analyst
AndHealth —Columbus, OH
Bachelor's degree in Computer Science, Economics, Engineering, Mathematics, or a related quantitative field, or equivalent practical experience preferred.
Quick Apply
16h
Quality Control, Raw Material Analyst II
Forge Biologics —Columbus, OH
Whether you're scaling AAV manufacturing, collaborating on cutting-edge therapies, or supporting complex technical projects, you'll play a key role in bringing…
Quick Apply
8d

Show more jobs in cities nearby

I want to receive the latest job alert for pharmaceutical analyst in columbus

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

pharmaceutical analyst jobs near columbus

Clinical Pharmacist jobs in Columbus, OH

Program Analyst jobs in Columbus, OH

Clinical Pharmacology jobs in Remote

Clinical Pharmacist jobs in St. Louis, MO

Clinical Research jobs in Bethesda, MD

Clinical Data Management jobs in Minneapolis, MN

Clinical Pharmacist jobs in Dallas Fort Worth, TX

Clinical Pharmacist jobs in Sugar Land, TX

Clinical Pharmacist jobs in Hendersonville, TN

Entry Level Pharmacist jobs in New York State

Program Analyst jobs in Oklahoma

Apprenticeship Program jobs in Missouri

Program Analyst jobs in Hartford, CT

Childrens Hospital Nurse Residency Program jobs in Florida

Program Analyst jobs in Baltimore, MD

Gis Analyst jobs in Austin, TX

Computer Repair Technician jobs in Boston, MA

Hvac Technician jobs in Minneapolis, MN

Qc Technician jobs in Davis, CA

Hvac Technician jobs in Hermiston, OR

Pharmacy Program Optimization Analyst

AndHealth -
Columbus, OH

Quick Apply

Job Details

Full-time
16 hours ago

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Optimizing workflow processes
Revenue growth
Financial forecasting
Operational analysis
Pharmacy informatics
Pricing
Pharmacy Information Systems (PIS)
Economics
Database systems
Defect resolution root cause analysis
Medical claims processing
Computer Science
Program development
Spreadsheets
Mathematics
Bachelor's degree in economics
Financial management report preparation
Mid-level
Medical billing compliance oversight
Budget forecasting
SQL
Analysis skills
Policy & process development
Bachelor's degree in engineering
Medical billing data reporting
Continuous improvement
Clinical information systems
Quality improvement
Organizational skills
Interdisciplinary policy and procedure development experience

Full Job Description

Pharmacy Program Optimization Analyst

Full Time

Columbus, Ohio

AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, and independent practices to remove barriers to care to ensure all people have access to the care they deserve.

We are looking for a Pharmacy Program Optimization Analyst who will play a critical role in maximizing the efficiency and effectiveness of our partner’s federal drug pricing programs. This individual will move beyond traditional compliance, focusing on identifying and implementing opportunities for significant program enhancement and revenue capture across multiple pharmacy claim initiatives.

What you’ll do in the role:

Proactively monitor Pharmacy claims across our partners, identifying trends, anomalies, and areas of opportunity to improve claim capture. Identify and address missing claim data, working collaboratively with FQHC partners, TPAs, and pharmacy operations teams to investigate root causes of unpaid or uncaptured claims and implement sustainable long-term solutions to improve paid claim rates. Investigate carve-out logic and payer carve-out status to ensure pharmacy claims are submitted under the appropriate billing configuration and compliance.
Stay current with evolving manufacturer contract pharmacy policies and their potential impact on program optimization, adapting strategies as needed.
Analyze data from EHRs,TPAs and pharmacy operating systems to track and confirm program eligibility and utilization, identifying opportunities for improved capture.
Troubleshoot live issues related to EHR and pharmacy operating systems that affect program eligibility or optimization.
Establish and maintain strong relationships with internal and external providers and partners to support program workflows and drive efficiency.
Create, update, and contribute to the development of program policies and procedures, with an emphasis on optimization.
Track and analyze monthly savings, and trends to drive financial optimization of the program.
Generate reports to support audit processes, leadership visibility, and budget forecasting, highlighting optimization efforts and outcomes.
Stay current on claims reimbursement policies and best practices; attend training, webinars, and conferences as needed, applying new knowledge to program enhancement.
Review HRSA OPAIS website and notify internal stakeholders and advise partners on changes required for program optimization and compliance.
Participate in internal and external meetings regarding eligibility, process improvement, and quality, focusing on optimization strategies.
Perform other duties as assigned to support program growth and efficiency.

Education & Licensure Requirements:

Bachelor's degree in Computer Science, Economics, Engineering, Mathematics, or a related quantitative field, or equivalent practical experience preferred.

Other Skills or Qualifications:

Proven experience with federal drug pricing program operations and a strong understanding of paid claims workflow and optimization strategies.
Mastery of Microsoft Excel and other analytics tools for advanced data manipulation, analysis, and reporting.
Exceptional problem-solving skills, with a demonstrated ability to identify complex issues, conduct root cause analysis, and implement effective, long-term resolutions.
Ability to proficiently use EHR and pharmacy operating system(s).
Exceptional organization skills and ability to manage competing priorities in a fast-paced environment
Ability to work independently and take initiative in solving problems and improving processes
Strong attention to detail, spelling, and numerical differences.
Exemplary written and verbal communication skills.
Knowledge of healthcare terminology.
Nice to have: Experience with SQL for advanced data querying and analysis.

Here’s what we’d like to offer you:

Equal investment and support for our people and patients.
A fun and ambitious start-up environment with a culture that takes on important things, takes risks, and learns quickly.
The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.
A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.
We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.
Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Paid time off, Short- and Long-Term Disability, and more.

We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.

pg3VGE4KhU

Quick Apply

Refine Your Search

pharmaceutical analyst jobs in columbus

Pharmacy Program Optimization Analyst

Quality Control, Raw Material Analyst II

Senior Project Controls Analyst

Clinical Pharmacist Analyst

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for pharmaceutical analyst in columbus

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected