ExactCare logo
ExactCare

A national medication management and long-term pharmacy provider for people with complex, chronic needs

Pharmacy Purchasing Analyst

ProcurementProcurementFull TimeRemoteSeniorTeam 501-1,000Since 2009H1B No SponsorCompany SiteLinkedIn

Location

Ohio

Posted

12 days ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expEnglishCloudNumpyPandasPythonScikit-LearnSQLTableau

Job Description

Pharmacy Purchasing Analyst

ExactCare

• 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

Job 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

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