Top 3 Pharmacy operations analyst Jobs in Flint, Mi

Pharmacy Operations Analyst
McLaren Health Care —Flint, MI
- Full-time
- Surgery
- Customer service
- Research
- Health insurance
1d
Provider Compensation Analyst - Remote in Michigan
McLaren Health Care —Flint, MI
- Full-time
- Remote
- Surgery
- Mid-level
- Finance

Related jobs to explore

Based on your search for pharmacy operations analyst

Supply Chain Analyst
iGPS LOGISTICS —Clinton Township, MI
Bachelor’s Degree in a related field; a Graduate Degree is preferred. Participate as a key resource in S&OP process to review capacity and impact of sales…
From $65,000 a year
Quick Apply
8d
Procurement Sourcing Analyst - Multiple Levels
Dart Container —Mason, MI
Bachelor’s degree required (Business, Supply Chain, or related field preferred). 8+ years of experience in procurement, supply chain, inventory management, or…

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Inventory Deployment Analyst
Bath & Body Works —Reynoldsburg, OH
Bachelor's degree in a relevant field. Understand and implement product strategies and priorities according to the assortment goals of the Merchant team.
$64,000 - $92,400 a year
1d
Data Platform Enablement Analyst
McKesson —Columbus, OH
This is an excellent opportunity for a technical analyst, data platform analyst, analytics platform analyst, or business systems analyst who enjoys solving…
$86,300 - $143,800 a year
8d

Show more jobs in cities nearby

I want to receive the latest job alert for pharmacy operations analyst in flint, mi

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

pharmacy operations analyst jobs near flint, mi

Operations Analyst jobs in Flint, MI

Data Analyst jobs in Madison, WI

Operations Analyst jobs in Colorado

Operations Analyst jobs in Charleston, SC

Operations Analyst jobs in Minneapolis, MN

Remote Operations Coordinator jobs in New York, NY

Healthcare Analyst jobs in Connecticut

Operations Analyst jobs in Newark, NJ

Operations jobs in Las Vegas, NV

Financial Analyst jobs in Fairfax, VA

Compensation Analyst jobs in Hawaii

Compensation Analyst jobs in Little Rock, AR

Supply Chain Analyst jobs in Atlanta, GA

Compensation Analyst jobs in Oregon

Hris Analyst jobs in Orlando, FL

Compensation Analyst jobs in California

Pharmacy Operations Analyst

McLaren Health Care -
Flint, MI

Apply Now

Job Details

Full-time
1 day ago

Benefits

Health insurance

Qualifications

Customer service
Automation software
Research
Administrative experience
Desktop applications
Productivity software
Office experience

Full Job Description

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for an Operations Analyst to join in leading the organization forward.

MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).

MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

Position Summary:

The Operations Analyst combines executive-level support with hands-on operational execution to advance the strategic and day-to-day priorities of the health plan. This role provides end-to-end support for organizational initiatives and process improvements across all functions of the health plan. This individual will work with leaders across all departments to ensure operational compliance, alignment on goals, and timely execution of priority initiatives. The role manages executive-level communications, prepares leadership materials, completes special assignments, and supports high-visibility projects that require discretion, accuracy, and professionalism. Responds to inquires, provides information, and independently resolves basic problems. Responsible for assisting in development of operating policies and procedures, taking and maintaining minutes of various committees, posting of announcements, and compiling and maintaining recurring and miscellaneous reports. Acts as a liaison with internal and external departments.

Position Specific Expectations:

Pharmacy Operations

Prepare and submit pharmacy-related regulatory reports and state submissions required by MDHHS for the Medicaid managed care contract, including pharmacy utilization data, encounter data, and quality reporting.

Support CMS Medicare Part D reporting requirements, including PDE (Prescription Drug Event) data reconciliation and Part D compliance reporting.

Conduct pharmacy claim audits, including retrospective drug utilization review (RDUR) analyses, pharmacy network compliance audits, and PBM performance data validation.

Track and report on pharmacy cost savings initiatives, including generic substitution rates, formulary adherence, specialty drug management programs, and rebate performance.

Monitor pharmacy benefit trend data and identify aberrant utilization patterns, outlier prescribers, and potential fraud, waste, and abuse (FWA) indicators for escalation.

Support internal and external pharmacy audits, including MDHHS Medicaid managed care audits, CMS program audits, and NCQA accreditation reviews.

Support the development of pharmacy program presentations, including board reports, regulatory submissions, and internal leadership briefings.

Research and analyze pharmacy benefit best practices, regulatory updates, and market benchmarks to inform program development.

Maintain documentation of audit findings, corrective action plan tracking, and remediation status for pharmacy-related compliance activities.

Qualifications:

Required:

Associate degree in business administration, healthcare administration, or other administrative support area; or High School diploma or equivalent (GED) and two (2) years' experience in a related field.
Two (2) years' experience in an office environment related to customer service.
Proficiency with computer applications, MS-Office, automation tools, and other software applications associated with Operations department functions.

Preferred:

Bachelor’s degree in business administration, healthcare administration, or related field.
Experience and knowledge of HMO, PPO, TPA, and Managed Care functions (e.g. quality improvement, regulatory compliance, utilization management, care management, claims processing, payment integrity, enrollment/eligibility, EDI, provider contracting, and risk arrangements).

Additional Information

Schedule: Full-time
Requisition ID: 26004068
Daily Work Times: 8:30 am - 5:00 pm
Hours Per Pay Period: 80
On Call: No
Weekends: No

About Us

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

Apply Now

Refine Your Search

pharmacy operations analyst jobs in flint, mi

Pharmacy Operations Analyst

Provider Compensation Analyst - Remote in Michigan

Related jobs to explore

Explore jobs in cities nearby

I want to receive the latest job alert for pharmacy operations analyst in flint, mi

Explore jobs in more locations

About Us

Job Seeker Tools

Employer Tools

Browse

Stay Connected