Please share resume to jay@kmmtechnologies.com
Position: Lead Pharmacy Technical Analyst
Location: Remote
Duration: Full Time
USC/GC ONLY
This role supports the oversight and optimization of pharmacy network operations.
Responsibilities include:- Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.- Support credentialing, re-contracting, and termination processes across all network pharmacy providers.- Ensure alignment of network operations with contractual, regulatory, and service-level standards.- Coordinate with internal stakeholders to address network performance concerns and ensure resolution.
MUST HAVE:
1. Network performance analysis – Monitoring access, disruptions, trends, and service quality.
2. Provider relationship management – Engaging with pharmacy networks and resolving escalations.
3. Data-driven decision making – Using performance data to guide contracting, retention, and outreach.
4. Operational optimization – Driving improvements in network access, satisfaction, and cost efficiency.
5. Cross-functional collaboration – Coordinating with stakeholders across business, operations, and regulatory teams.
Job Description:Ability to navigate through various complex systems, deliver quality solution with in budget and schedule. , Expert
Ability to understand projects and concepts as they relate to high-level business objectives., Expert
Knowledge of architecture, application development, data structure and analysis techniques and methods., Expert
Proficiency in reading security patterns and audit reports to adhere with standards. , Expert
Strong interpersonal skills and ability to work in a team-based environment., Expert
Understanding of Project Management and translating organization objectives into goals., ExpertPURPOSE:
Delivers critical and emerging systems and data analysis and implements tools and technology for the whole enterprise. Design, and deliver management systems. Build, manage, and sustain critical systems, business and data analysis techniques, methods, tools, and processes. Owns data collection capabilities through collaboration with internal and external teams. Leads cross-departmental, and cross-functional team members.
ESSENTIAL FUNCTIONS:
25% Performs complex system analyses on software programs, applications, and services.
20% Leads product and service evaluation and recommends new tools or platforms for user efficiency.
20% Leads the implementation of new technology for organizational efficiency.
15% Communicates directly with all stake holders including executive management.
10% Improves data collection capabilities through collaboration with organizational teams.
10% Manages product licenses and ensures compliance with IT industry regulations. Provides the organization with cost saving analysis.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Job Type: Full-time
Pay: $140,000.00 - $145,000.00 per year
Work Location: Remote