Partner with business analysts, business users and source system experts to produce claim ... pharmacy/coding, utilization management (Required) * Experience in a healthcare environment ...
Partner with business analysts, business users and source system experts to produce claim ... pharmacy/coding, utilization management (Required) * Experience in a healthcare environment ...
Manager of Pharmacy Analytics and System Support
Boston, MA · On-site
$133K - $151K/yr
The Manager of Pharmacy Analytics and System Support is responsible for leading a team of data ... Additionally, the manager oversees the resolution of technical issues related to pharmacy systems ...
Manager of Pharmacy Analytics and System Support
Boston, MA · On-site
$133K - $151K/yr
The Manager of Pharmacy Analytics and System Support is responsible for leading a team of data ... Additionally, the manager oversees the resolution of technical issues related to pharmacy systems ...
This position is responsible for optimizing pharmacy practices, pharmacy systems, and consults with ... This entails intermediate to advanced analysis of current processes and workflows and change ...
This position is responsible for optimizing pharmacy practices, pharmacy systems, and consults with ... This entails intermediate to advanced analysis of current processes and workflows and change ...
Partner with business analysts, business users and source system experts to produce claim ... pharmacy/coding, utilization management (Required) * Experience in a healthcare environment ...
Partner with business analysts, business users and source system experts to produce claim ... pharmacy/coding, utilization management (Required) * Experience in a healthcare environment ...
Partner with business analysts, business users and source system experts to produce claim ... pharmacy/coding, utilization management (Required) * Experience in a healthcare environment ...
Partner with business analysts, business users and source system experts to produce claim ... pharmacy/coding, utilization management (Required) * Experience in a healthcare environment ...
Senior Specialist, Pharmacy Systems Operations - Remote
New York, NY · On-site +1
$68K - $118K/yr
Partner with business analysts, business users and source system experts to produce claim ... pharmacy/coding, utilization management (Required) * Experience in a healthcare environment ...
Senior Specialist, Pharmacy Systems Operations - Remote
New York, NY · On-site +1
$68K - $118K/yr
Partner with business analysts, business users and source system experts to produce claim ... pharmacy/coding, utilization management (Required) * Experience in a healthcare environment ...
This position is responsible for optimizing pharmacy practices, pharmacy systems, and consults with ... This entails intermediate to advanced analysis of current processes and workflows and change ...
This position is responsible for optimizing pharmacy practices, pharmacy systems, and consults with ... This entails intermediate to advanced analysis of current processes and workflows and change ...
Business Systems Analyst
Deerfield, IL · On-site
With a primary focus on our customers, you'll help create and maintain complex systems in a fast ... WBA) is a global leader in retail pharmacy, impacting millions of lives every day through ...
Business Systems Analyst
Deerfield, IL · On-site
With a primary focus on our customers, you'll help create and maintain complex systems in a fast ... WBA) is a global leader in retail pharmacy, impacting millions of lives every day through ...
With a primary focus on our customers, you'll help create and maintain complex systems in a fast ... WBA) is a global leader in retail pharmacy, impacting millions of lives every day through ...
With a primary focus on our customers, you'll help create and maintain complex systems in a fast ... WBA) is a global leader in retail pharmacy, impacting millions of lives every day through ...
... Systems Analysis, Information Systems, or a related field. (Note: A Master's degree in a related ... Prior professional background or functional experience in Nursing, Pharmacy, CPOE (Computerized ...
New
... Systems Analysis, Information Systems, or a related field. (Note: A Master's degree in a related ... Prior professional background or functional experience in Nursing, Pharmacy, CPOE (Computerized ...
New
The analyst partners closely with Retail Pharmacy Operations, Pharmacy Leadership, Revenue Cycle ... This role operates in a highvolume, productionfocused environment where system stability ...
The analyst partners closely with Retail Pharmacy Operations, Pharmacy Leadership, Revenue Cycle ... This role operates in a highvolume, productionfocused environment where system stability ...
Pharmacy Systems Sales Specialist
$80K - $90K/yr
Braun Interventional Systems, Aesculap ® and CAPS ® . Globally, the B. Braun Group of Companies ... Strong analytical skills / ability to collect and analyze financial data. * Good negotiation skills.
Pharmacy Systems Sales Specialist
$80K - $90K/yr
Braun Interventional Systems, Aesculap ® and CAPS ® . Globally, the B. Braun Group of Companies ... Strong analytical skills / ability to collect and analyze financial data. * Good negotiation skills.
Baccalaureate degree in Information Systems, Computer Science, Business Administration or related field or equivalent education, training and/or experience * 3-5 years experience providing analytical ...
Baccalaureate degree in Information Systems, Computer Science, Business Administration or related field or equivalent education, training and/or experience * 3-5 years experience providing analytical ...
Data Systems Analyst
$90K - $120K/yr
Job Summary The Data Systems Analyst leads the integration of various healthcare payer data and ... pharmacy, census and RAF datasets Advanced SQL skills and strong understanding of relational ...
Data Systems Analyst
$90K - $120K/yr
Job Summary The Data Systems Analyst leads the integration of various healthcare payer data and ... pharmacy, census and RAF datasets Advanced SQL skills and strong understanding of relational ...
Data Systems Analyst
$90K - $120K/yr
Job Summary The Data Systems Analyst leads the integration of various healthcare payer data and ... pharmacy, census and RAF datasets Advanced SQL skills and strong understanding of relational ...
Data Systems Analyst
$90K - $120K/yr
Job Summary The Data Systems Analyst leads the integration of various healthcare payer data and ... pharmacy, census and RAF datasets Advanced SQL skills and strong understanding of relational ...
The Ambulatory Clinical Systems Analyst is responsible for the administration and maintenance of ... Supplemental Plans * 340B Pharmacy Program * Madisonhealth Services Discount Paid Time Off
The Ambulatory Clinical Systems Analyst is responsible for the administration and maintenance of ... Supplemental Plans * 340B Pharmacy Program * Madisonhealth Services Discount Paid Time Off
Pharmacy Automated Dispensing Coordinator
South Bend, IN · On-site
$17.25 - $20.75/hr
Maintains close working communication with staff (i.e., Pharmacists, Technicians, and Pharmacy Systems Analyst) regarding the proper set-up, use and maintenance of Pyxis equipment. Facilitates ...
Pharmacy Automated Dispensing Coordinator
South Bend, IN · On-site
$17.25 - $20.75/hr
Maintains close working communication with staff (i.e., Pharmacists, Technicians, and Pharmacy Systems Analyst) regarding the proper set-up, use and maintenance of Pyxis equipment. Facilitates ...
APPLICATION SPECIFIC NEEDS UNDER CLINICAL SYSTEMS ANALYST * Preferred * Application ... Willow/Pharmacy. One year of experience as a pharmacy tech * Application: Optime/Anesthesia. One ...
APPLICATION SPECIFIC NEEDS UNDER CLINICAL SYSTEMS ANALYST * Preferred * Application ... Willow/Pharmacy. One year of experience as a pharmacy tech * Application: Optime/Anesthesia. One ...
APPLICATION SPECIFIC NEEDS UNDER CLINICAL SYSTEMS ANALYST * Preferred * Application ... Willow/Pharmacy. One year of experience as a pharmacy tech * Application: Optime/Anesthesia. One ...
APPLICATION SPECIFIC NEEDS UNDER CLINICAL SYSTEMS ANALYST * Preferred * Application ... Willow/Pharmacy. One year of experience as a pharmacy tech * Application: Optime/Anesthesia. One ...
Conducts or participates in projects and tactical meetings and is responsible for issue tracking and analysis. Ensures adherence to quality standards and reviews deliverables with customers.
Conducts or participates in projects and tactical meetings and is responsible for issue tracking and analysis. Ensures adherence to quality standards and reviews deliverables with customers.
Pharmacy Systems Analyst information
See salary details
$13.22 - $17.53
12% of jobs
$19.23 is the 25th percentile. Wages below this are outliers.
$17.53 - $21.83
32% of jobs
The median wage is $22.82 / hr.
$21.83 - $26.14
25% of jobs
$28.61 is the 75th percentile. Wages above this are outliers.
$26.14 - $30.44
10% of jobs
$30.44 - $34.75
9% of jobs
$34.75 - $39.05
5% of jobs
$39.05 - $43.36
2% of jobs
$43.36 - $47.66
0% of jobs
$47.66 - $51.97
0% of jobs
$51.97 - $56.27
0% of jobs
$56.27 - $60.58
4% of jobs
$13
$27
$60
How much do pharmacy systems analyst jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Pharmacy Systems Analyst, and why are they important?
What are some common challenges faced by a Pharmacy Systems Analyst when implementing new pharmacy software solutions?
What is a Pharmacy Systems Analyst?
What is the difference between Pharmacy Systems Analyst vs Pharmacy Technician?
| Aspect | Pharmacy Systems Analyst | Pharmacy Technician |
|---|---|---|
| Required Credentials | Bachelor's degree in health informatics, pharmacy, or related field; certifications like CPHIMS | High school diploma or equivalent; state-specific certification or registration |
| Work Environment | Healthcare settings, pharmacies, hospitals, IT departments | Retail pharmacies, hospitals, clinics |
| Employer & Industry Usage | Healthcare organizations, pharmacy software companies | Retail chains, hospitals, outpatient clinics |
| Common Search & Comparison | Often compared for roles involving pharmacy software management and system implementation | Compared for direct patient medication dispensing roles |
The main difference is that Pharmacy Systems Analysts focus on managing and optimizing pharmacy software systems, requiring technical and analytical skills, while Pharmacy Technicians assist with medication dispensing and patient care. Both roles are essential in healthcare but serve different functions within pharmacy operations.

EmblemHealth rating
9.4
Based on 5 frontline employees who took The Breakroom Quiz
9th of 281 rated insurance
Job description
Serve as pharmacy systems coding subject matter expert for Prior Authorization with a focus on medical drug claim processing, review of utilization management, PA processing, and appeals; as well as the following: claims processes and JUDI interoperability with FACETS edits and other connection troubleshooting. Provide technical and subject matter expertise support for implementations and day to day operations of Pharmacy functions and vendor coordination. Support operations for file transfer systems (configuration, deployment, pharmacy management and medical benefits, eligibility). Support operations for system integration, including monitoring files and transitions, fallout, and root cause analyses. Execute non-clinical Appeals from post claim edit process, and consistently maintain queue
Responsibilities
- Collaborate in defining, gathering, reviewing, and editing business requirements for system updates, enhancements and migrations for claims projects.
- Perform solution analysis review and provide concise direction to ensure that the proposed system solution meets established business protocols, and any mandates and compliance guidelines.
- Partner with business analysts, business users and source system experts to produce claim processing output consistent with meeting overall goals.
- Review daily, pended medical drug claims for accuracy.
- Identify and implement solutions to support automation of claims or resolve with manual intervention.
- Collaborate with clinical, formulary, payment integrity and other key players to ensure issues are accurately defined with an appropriate solution.
- Submit and track medical claims system configuration requests related to RPC (Reimbursement Policy Committee) decisions, ensuring timely implementation and alignment with approved policy guidelines.
- Work with business units to develop test strategies and scenarios from business requirements.
- Accurately interpret and translate strategies and scenarios into test plans.
- Analyze requirements, test documents and acceptance criteria which will effectively find defects that may exist in claims processing.
- Act as a liaison and subject matter expert for day to day medical drug system-related technical questions and/or issues.
- Troubleshoot and track all concerns on unpaid claims, working with key stakeholders and respond to all appropriate parties effectively within a timely manner.
- Provide written progress report to leadership regarding the status of deliverables, issues, problems and corrective actions taken.
- Perform other related tasks as directed or required
Qualifications
- Bachelor's degree required
- 4 – 6+ years of relevant, professional work experience (Required)
- 2+ years' experience in one or more of the following: claims processing, pharmacy/coding, utilization management (Required)
- Experience in a healthcare environment (Required)
- Proficiency with MS Office - Word, Excel, Access, PowerPoint, Outlook (Required)
- Advanced reporting system experience/knowledge - SAS, Oracle, etc. (Preferred)
- Track record of successfully managing multiple tasks/projects with competing priority levels/deadlines (Required)
- Ability to understand complex technical system requirements and translate into simple business language (Required)
- Excellent communication skills - verbal, written, presentation, reporting, interpersonal (Required)
- Attention to detail; ability to think critically; ability to identify, quantify, analyze and resolve issues (Required)
About EmblemHealth
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
New York, NY, US
Year founded
1937