Business Analyst, Experienced (Pharmacy Operations)

Your Role

The Pharmacy Operations and Stabilization team provides end to end oversight of all Pharmacy benefit intent, quality assurance, testing, and production stabilization activities ensuring benefit changes are clearly defined, accurately validated, and effectively managed from issue identification through resolution within a matrixed environment. The Business Analyst, Experienced will report to the Manager, Business Analysis. In this role you will support translating pharmacy benefit intent into clear business requirements, assist with QA and testing efforts to validate benefit accuracy, and contribute to issue analysis and resolution across matrixed business, clinical, technical, and vendor teams.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

Provide analytical support through the analysis and interpretation of data in support of cross-functional business operations

Contribute to annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)

Develop, prepare and analyze reports for management review, and present to various levels of management

Define business requirements and provide analysis to increase operational efficiency

Analyze actual results against plan and forecast and recommend interventions where appropriate

Translate pharmacy benefit intent, business needs, and operational inputs into clear requirements, process flows, test scenarios, and supporting documentation

Support quality assurance and user acceptance testing by validating benefit configuration, documenting results, and coordinating defect resolution

Analyze production issues, trends, and root cause indicators to support timely triage, escalation, remediation, and prevention efforts

Partner with business, clinical, technical, and vendor teams to clarify requirements, resolve questions, and ensure alignment across implementation and stabilization activities

Maintain dashboards, trackers, reports, and issue documentation to support operational visibility, leadership updates, and decision-making

Your Knowledge and Experience

Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience

Requires at least 3 years of prior relevant experience

Requires Experience developing business requirements, process documentation, test scenarios, or operational reporting

Experience supporting QA, UAT, production validation, issue triage, or root cause analysis in a cross-functional environment strongly preferred

Strong analytical, problem-solving, documentation, and communication skills required

Healthcare, pharmacy benefit management, managed care, or claims/benefit configuration experience strongly preferred

Experience working with vendors, technical teams, or matrixed business partners to resolve operational issues experience strongly preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.