Business Analyst-Pharmacy Operations

6 days ago

Hanover, United States Johns Hopkins Medicine Full time

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.

What awaits you:

  • Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD office
  • Medical, Dental, and Vision Insurance.
  • 403B Savings Plan w/employer contribution.
  • Paid Time off & Paid holidays.
  • Employee and Dependent Tuition assistance benefits.
  • Health and wellness programs and MORE

As the Business Analyst-Pharmacy (Pharmacy Operations Oversight Specialist), you’ll:

  • Contributes to the development and implementation of oversight, monitoring, and audit plan related to JHHP pharmacy vendors and other contracted entities
    • Develop corrective action plans for areas that are not meeting contractual and regulatory requirements
  • Create, maintain, and deliver oversight reports and program updates to pharmacy and compliance leadership teams
  • Design oversight programs to achieve desired results, target areas of risk, and mitigate compliance vulnerability for the health plan.
  • Support program development of Clinical Pharmacy Programs, manage databases and develop communications to members and providers.
  • Responsible for analyzing data specific to Medicaid, NCQA, and TRICARE regulatory submissions and providing critical feedback to the plan prior to submission
  • Monitor key performance indicators in clinical, operational, and vendor management areas to proactively inform leadership and departmental business owners of possible risks and issues

What you’ll bring:

  • 3+ years of experience in a managed care, business, or healthcare environment, with demonstrated experience in data analysis, reporting, and project management.
    • Prior PBM experience strongly preferred.
  • Associates degree or higher required.
  • Demonstrated proficiency with either SAS or SQL including ability to write queries based on business need is a plus
  • CPhT preferred

Who we are:

Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.

Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.

Salary Range: Minimum 25.73 per hour - Maximum 42.48 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

  • Business Analyst-Pharmacy Operations

    5 days ago

    Hanover, United States Johns Hopkins Medicine Full time

    Job Description: Job Description Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a hybrid role requiring you to work 1...

  • Business Analyst-Pharmacy Operations

    5 days ago

    Hanover, United States Johns Hopkins Medicine Full time

    Job DescriptionJob DescriptionJohns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a hybrid role requiring you to work 1 day...

  • Business Analyst

    3 weeks ago

    Hanover, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are offering a 100% remote consulting opportunity for a Business Analyst. As a Business Analyst, you'll be tasked with managing data requests, conducting thorough data analysis, and generating detailed reports on various aspects such as budget variances and reimbursement trends. You will also be responsible for managing...

  • CNO Programmer Analyst

    1 month ago

    Hanover, United States Orbis Operations Full time

    Orbis Operations is seeking CNO Programmer/Analysts to support its government customer in Hanover, Ft. Meade, and Laurel, MD areas. Required Clearance: Active Security Clearance required at the Top Secret (TS)/Special Compartmented Information (SCI) level and appropriate level Polygraph Required Skills: Thorough C Development skills Experience with...

  • Business Systems Analyst

    3 months ago

    Hanover, United States Motion Recruitment Partners LLC Full time

    Business Systems Analyst - Ecommerce Hanover, Maryland Hybrid Contract $40/hr - $45/hr This organization is one of the most successful lifestyle merchants, with over 250 locations throughout 19 states. As their business grows, they are determined to continue providing their customers with the hottest and most recent designs from leading apparel and...

  • Business Analyst

    3 weeks ago

    Hanover, United States Elevance Health Full time

    JR133260 Business Analyst Responsible for assisting with the translation of business needs into application software requirements. Location: This position will work a hybrid model (remote and office) and must live within 50 miles of one of our Pulse Point office locations. How will you make an impact: Participates in developing and/or modifying...

  • Pharmacy Professional

    2 weeks ago

    Hanover, Pennsylvania, United States WEIS LLC Full time

    About the Job:Weis LLC is seeking a highly skilled Pharmacy Professional to join our team. This role offers a competitive salary of $85,000 - $110,000 per year.Job Responsibilities:As a Lead Pharmacist - Medication Expert, you will be responsible for ensuring accuracy and appropriateness of all prescriptions filled by completing Drug Utilization Review and...

  • Business Systems Analyst

    3 months ago

    Hanover, United States Motion Recruitment Full time

    This organization is one of the most successful lifestyle merchants, with over 250 locations throughout 19 states. As their business grows, they are determined to continue providing their customers with the hottest and most recent designs from leading apparel and footwear manufacturers. They're presently seeking a Business Systems Analyst to join their...

  • Junior Business Analyst

    2 weeks ago

    Hanover, United States Live! Casino and Hotel Maryland Full time

    Min Compensation USD $45,000.00/Yr. Max Compensation USD $57,500.00/Yr. OverviewWhy We Need Your Talents: The Junior Data Analyst will gather and analyze data from various databases and sources, develop reports and visual representations, and provide analytics of all financial/operational processes within the company. This will include developing reporting...

  • Pharmacy Professional

    5 days ago

    Hanover, Pennsylvania, United States Walmart Full time

    **About the Role:**We are seeking an enthusiastic and detail-oriented Pharmacy Pre-Grad Intern to join our team at Walmart. As a Pharmacy Pre-Grad Intern, you will have the opportunity to develop your skills and knowledge in pharmacy operations while working with a dynamic team.Salary:The estimated hourly wage range for this position is $18.00-$28.00,...

  • Business Intelligence Analyst II

    2 weeks ago

    Hanover, United States Johns Hopkins HealthCare Full time

    Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a remote role, must be able to come to the Hanover, MD office for...

  • Sr. Business Intelligence Analyst

    2 weeks ago

    Hanover, United States Johns Hopkins HealthCare Full time

    Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a remote role, must be able to come to the Hanover, MD office for...

  • Exploitation Analyst

    2 months ago

    Hanover, United States Belay Technologies Full time

    Belay Technologies has been voted Baltimore Business Journal's (BBJ) Best Places to Work 2019, runner up in 2020 and a finalist in 2021! Belay is hiring an Exploitation Analysts (EA) to support a brand new contract! The EA have many of the same skills of Digital Network Exploitation Analyst (DNEA), but their primary mission is more focused on exploitation....

  • Business Systems Analyst

    2 months ago

    Hanover Hills, Maryland, United States Motion Recruitment Partners LLC Full time

    Ecommerce Business Systems Analyst RoleAbout the PositionMotion Recruitment Partners LLC is seeking a skilled Business Systems Analyst to join their team. This is a contract-to-hire position that requires travel to the company office once a month for sprint planning and road mapping meetings.Key Responsibilities• Create technical documentation and user...

  • Pharmacy Support Professional

    6 days ago

    Hanover, Pennsylvania, United States Walmart Full time

    **About the Role:**We are seeking a talented and dedicated Pharmacy Pre-Grad Intern to join our team at Walmart. In this role, you will have the opportunity to develop your skills and knowledge in pharmacy operations, customer service, and teamwork.Salary: The estimated hourly wage range for this position is $18.00-$28.00. Additional compensation includes...

  • Pharmacy Assistant Intern

    5 days ago

    Hanover, Pennsylvania, United States Walmart Full time

    Company Overview: Walmart is a leading retailer offering competitive pay, performance-based bonus awards, and great benefits for a better work-life balance. Our health benefits include medical, vision, and dental coverage. Financial benefits comprise 401(k), stock purchase, and company-paid life insurance. Paid time off benefits include PTO (including sick...

  • Pharmacy Trainee Position

    3 weeks ago

    Hanover, Pennsylvania, United States Walmart Full time

    Job Summary:We are seeking a highly motivated and organized Pharmacy Pre-Grad Intern to join our team. This role offers a unique opportunity for students to gain practical experience in the pharmacy industry while pursuing their degree.The Pharmacy Pre-Grad Intern will be responsible for assisting pharmacists with daily tasks, processing prescriptions, and...

  • Walmart Pharmacy Pre-Grad Position

    3 weeks ago

    Hanover, Pennsylvania, United States Walmart Full time

    About the Role:As a Pharmacy Intern at Walmart, you will have the opportunity to gain hands-on experience in a fast-paced pharmacy environment. You will assist with daily pharmacy operations, develop your skills and knowledge, and contribute to the success of our team.Compensation and Benefits: The hourly wage range for this position is $18.00-$28.00....

  • Computer Network Defense Analyst

    4 weeks ago

    Hanover, United States Belay Technologies Full time

    Belay Technologies has been voted Baltimore Business Journal's (BBJ) Best Places to Work 2019, runner up in 2020 and a finalist in 2021! Computer Network Defense Analyst Belay is hiring a Computer Network Defense Analyst (CNDA) to support a brand-new contract! The CNDA will use information collected from various sources to identify and analyze...

  • Pharmacy Pre-Graduate Development Role

    5 days ago

    Hanover, Pennsylvania, United States Walmart Full time

    **Develop Your Skills:**As a Pharmacy Pre-Grad Intern at Walmart, you will have the opportunity to develop your skills and knowledge in pharmacy operations while working with a dynamic team. You will assist with processing prescription and over-the-counter orders, stocking and securing pharmacy supplies, and maintaining accurate records.About the Salary:The...