Summa Health · 2 months ago
Pharmacy Business Analyst
Greater Cleveland
Full-time
Onsite
Entry Level
$34/hr - $50.99/hr
1+ years expSumma Health is an integrated healthcare delivery system based in Akron, Ohio, providing high-quality Medicare Advantage and commercial insurance plans. They are seeking a Pharmacy Business Analyst to provide project and business analysis support related to their Pharmacy Benefit Manager, focusing on data gathering, process flowcharting, and project implementation.
Health CareMedicalNon Profit
Responsibilities
Provides support for pharmacy-related project management and business analysis requests including, but not limited to, data gathering and analysis, flowcharting of current process and procedures, creating project definition and scope, developing recommendations, implementing action plans, completing testing, and conducting quality assurance reviews
Designs, develops, and maintains pharmacy benefit reporting tools
Communicates, coordinates, and works with SummaCare and PBM Information Technology staff in resolving and completing Projects and System Requests that involve multiple departments
Designs, builds, tests and implements new pharmacy benefits with the Pharmacy Benefits Manager (PBM) as well as tasks related to year end
Communicates, coordinates and works with internal departments including Eligibility, Sales, Compliance Training, and Finance, to ensure successful implementation of new pharmacy benefits
Coordinates, tracks and monitors financials related to pharmacy, including PBM Performance Guarantees and Rebates
Monitors and coordinates Medicare Prescription Drug Event (PDE) activities for the health plan
Serves as Subject Matter Expert (SME) for the Pharmacy Management Team
Performs all job functions with integrity. Provides timely internal and external customer service in cooperative, professional, and respectful manner
Qualification
Required
Bachelor's degree or equivalent combination of education and/or experience
One (1) year of similar or relevant experience such as working in a health plan or in a Pharmacy Benefit Manager (PBM) role
Demonstrate excellent verbal and written communication skills
Make sound decisions and recommendations based on consideration of facts, priorities, resources, and alternatives
Effectively utilize MS Word, Excel, and other software applications to perform job duties
Organize and manage time to accurately complete tasks within designated time frames in fast-paced environment
Maintain current knowledge of and comply with regulatory and company policies & procedures
Maintain confidentiality of member health information and business information
Flexible: ability to adjust work hours to meet business demands
Benefits
Medical
Dental
Vision
Life
Paid time off
Basic Life and Accidental Death & Dismemberment (AD&D)
Supplemental Life and AD&D
Dependent Life Insurance
Short-Term and Long-Term Disability
Accident Insurance, Hospital Indemnity, and Critical Illness
Retirement Savings Plan
Flexible Spending Accounts – Healthcare and Dependent Care
Employee Assistance Program (EAP)
Identity Theft Protection
Pet Insurance
Education Assistance
Daily Pay
Company
Summa Health
Summa Health is a non-profit medical care that offers orthopedic, weight management, sleep medicine, mental, and digestive health services.
5001-10000 employees
H1B Sponsorship
Summa Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2023 (2)
2022 (1)
2020 (5)
Funding
Current Stage
Late StageTotal Funding
$14.6M2024-01-17Acquired
2020-02-07Grant· $1.5M
2019-11-21Grant· $2.1M
Leadership Team
Cliff Deveny
Advisor/CEO Emeritus
Recent News
2025-11-27
Mobihealthnews
2025-11-08
2025-11-02
Company data provided by crunchbase