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Pharmacy Business and Contracting Analyst - Pharmacy - UH Truman Medical Center (5 days per week; 8:00a-4:30p; Mon-Fri)
101 Truman Medical Center
Job Location
University Health Truman Medical Center
Kansas City, Missouri
Department
Pharmacy Inpatient UHTMC
Position Type
Full time
Work Schedule
8:00AM - 4:30PM
Hours Per Week
40
Job Description
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