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Pharmacy Business & Contract Analyst

We are seeking a strategic and analytically driven Pharmacy Business & Contract Analyst to support revenue optimization, payer relationships, and contract performance across the health system’s pharmacy services. This role serves as a key liaison between pharmacy operations, payers, and leadership—driving data-informed decision-making and ensuring compliance with contractual and regulatory requirements.

Role Overview

The Pharmacy Business & Contract Analyst is responsible for managing pharmacy-related contracts, supporting revenue cycle performance, and delivering actionable insights through financial and operational analysis. This role plays a critical part in identifying opportunities to enhance reimbursement, improve efficiency, and strengthen payer performance across the organization.

Key Responsibilities

• Manage and support pharmacy contracting activities, ensuring compliance with payer requirements and internal policies

• Analyze payer performance, reimbursement trends, and contract compliance to identify risks and opportunities

• Conduct financial audits and business analyses to support revenue integrity and operational efficiency

• Serve as the primary point of contact for pharmacy-related payer inquiries, issue resolution, and relationship management

• Maintain provider manuals, payer databases, and contract documentation (paper and electronic)

• Develop, prepare, and maintain data analytics and reporting tools for leadership and operational teams

• Provide recommendations for process improvements, workflow optimization, and revenue enhancement

• Support training and education related to contracts, reimbursement, and billing practices

• Ensure compliance with regulatory standards, including HIPAA and government payer requirements

Minimum Qualifications

• Doctor of Pharmacy (PharmD) or Registered Pharmacist with equivalent experience

• Minimum of 5 years of pharmacy practice experience

• Current licensure as a Pharmacist in the State of Missouri

Preferred Qualifications

• Master’s degree in Public Health, Business Administration, Health Administration, Health Informatics, Accounting, or related field

• Experience in pharmacy, insurance, or healthcare business environments involving contracts and third-party payers

• Knowledge of Medicare, Medicaid, HIPAA, and reimbursement practices

• Familiarity with electronic claims processing and revenue cycle operations

Ideal Candidate Profile

• Strong analytical and financial acumen with attention to detail

• Ability to translate complex data into actionable insights

• Excellent communication and stakeholder management skills

• Proactive problem-solver with a focus on continuous improvement and business outcomes