PHARMACY COMPLIANCE AND OPTIMIZATION ANALYST

Status: Full Time Schedule: 40 hours per week; Monday–Friday; no weekends Location: Remote

Position Summary

The Pharmacy Compliance and Optimization Analyst enhances the efficiency, compliance, and financial performance of the pharmacy enterprise. This role evaluates pharmacy operations, systems, and internal and industry trends to identify and implement solutions that drive cost savings, ensure regulatory and contractual compliance, improve reliability, generate new revenue opportunities, and optimize operational efficiency.

The analyst partners with pharmacy leadership, supply chain, and other stakeholders to maximize contract value, control non-labor spend, and leverage data and technology to support performance improvement across the medication value chain.

Essential Functions

• Analyze pharmacy and medication value chain operations to identify strengths, weaknesses, and opportunities to improve systems, processes, technology utilization, and operational effectiveness.
• Provide analytical support using advanced pharmacy and business analysis practices to define, promote, and enforce standards and best practices.
• Identify cost savings and drug utilization opportunities across the continuum of care by collaborating with pharmacy buyers, pharmacy leaders, supply chain, benchmarking services, and other internal departments.
• Support change management activities related to product introduction, implementation, and optimization.
• Analyze purchasing, product and distribution standardization, inventory management, operational efficiencies, pharmacy compliance, charge code compliance, and overall financial performance of the pharmacy enterprise.
• Identify non-compliance across all pharmacy areas, including but not limited to:
  • 340B Program
  • Sterile and non-sterile compounding
  • Medication distribution
  • Internal standards and pharmacy contracts
• Provide recommendations and assist with the implementation of corrective actions to achieve and maintain compliance.
• Ensure pharmacy services receive high-quality performance and support from vendors and external partners.
• Ensure data integrity by monitoring and reconciling discrepancies across relevant systems and data streams, including but not limited to:
  • Cogito extracts
  • EDI purchase order confirmations
  • Price catalogs
  • Split billing software
• Participate in strategic meetings with vendors, business leaders, and internal and external stakeholders to support execution of defined strategies, contractual obligations, compliance requirements, and emerging technology initiatives.
• Create clear, actionable, and repeatable reports that highlight trends, risks, and opportunities for improvement.
• Recommend internal controls, identify process gaps, and assist in developing or revising procedures.
• Conduct internal audits and ad-hoc analyses to investigate ongoing or one-time operational issues.
• Maintain regular, punctual attendance in accordance with Orlando Health policies, ADA, FMLA, and applicable federal, state, and local standards.
• Maintain compliance with all Orlando Health policies and procedures.

Education / Training

• Bachelor’s degree required.
• An Associate’s degree plus two (2) years of directly related experience may substitute for the bachelor’s degree.
• A High School Diploma or equivalent plus four (4) years of directly related experience may also substitute for the bachelor’s degree.
• Substituting experience must be in purchasing, data analysis, compliance, or healthcare.

Licensure / Certification

• None required.

Experience

• Minimum of two (2) years of business analysis experience, preferably within the healthcare industry.
• Demonstrated ability to communicate effectively across all levels of the organization.
• Intermediate to advanced proficiency in Microsoft Excel, including:
  • PowerQuery
  • XLOOKUP and VLOOKUP
  • Pivot tables
  • VBA
  • Advanced formulas and functions