The Plan Analyst establishes and sets up pricing and plan parameters in the pharmacy practice systems to support PharMerica client contracts and 3^rd party plans.  Responsible for the client pricing implementation process and pricing changes, resolving client issues, working in LTC400 and RxExact pharmacy systems for standard and complex plan designs.  May work with formularies, the product file, and/or IV setups.

• Maintains client pricing and pharmacy coverage parameters in the pharmacy practice systems
• Conducts research and provide information to internal partners on client pricing and coverage set-up
• Ensures accurate claim processing by correcting and communicating discrepancies found in set-up and/or quality assurance testing and recommends appropriate plan set-up changes and/or system modifications when required
• Analyzes the client request and determine the best operational approach and perform set-up
• Conducts research and provide information to internal partners on client pricing, coverage set up and product file questions
• Provides consultation and expertise to internal partners
• Participates and/or takes the lead in special projects
• Performs other tasks as assigned
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor’s degree
• Three or more years corporate experience
• Long Term Care, Pharmacy Practice Management System setup, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM experience preferred
• Ability to work with a high degree of accuracy and attention to detail
• Strong interpersonal skills to work effectively with internal customers Microsoft office products
• Knowledge of claims processing system or pharmacy practice system desired
• Strong analytical and critical thinking skills
• Advanced Excel and/or data knowledge

At BrightSpring Health Services, our LEGACY culture guides how we lead, how we serve, and how we show up for one another. We are committed to doing the right thing—leading with integrity, accountability, and transparency in all that we do. As part of this commitment, we share that we may use third-party artificial intelligence (AI) to process employment data in connection with our hiring processes. Any AI tool that we use always has humans in the loop; we do not use AI to automate employment decisions or to discriminate, and we do not use zip codes as proxy. Humans – our hiring leaders and recruiter – make final decisions. BrightSpring Health Services provides reasonable accommodations to qualified applicants and employees with disabilities; if you would like to request a reasonable accommodation, please contact your recruiter or send an inquiry to TalentAcquisition@brightspringhealth.com. For more information about how our company uses AI in the hiring process, contact TalentAcquisition@brightspringhealth.com.

BrightSpring Health Services and its affiliated companies provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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