WVU Medicine · 17 hours ago
Associate Pharmacy Analyst
WVU Innovations Corporation
Full-time
Onsite
Entry Level
2+ years expWVU Medicine is part of the West Virginia University Health System, and they are seeking an Associate Pharmacy Analyst to support the operational efficiency of the Pharmacy Department. The role involves coordinating fiscal management activities, performing data analysis, and maintaining departmental statistics and reports, while working closely with clinical pharmacists and other medical staff.
Health CareHospitalMedical
Responsibilities
Monitors daily medication charges to ensure correct documentation and charging and correct discrepancies found
Facilitates the addition, deletion, or correction of charges and coding to the charge master as needed
Assures utilization of all available indigent care programs for inpatient and outpatient administration of medications
Coordinates with Clinical Specialists to prioritize medication authorizations and patient assistance needed
Identifies patients requiring medication pre-certification or prior authorization at the time services are requested or when notified by clinical staff
Contacts insurance company or employer to determine eligibility and benefits for requested services
Proactively assists in researching departmental issues and involves proper information technology, contracting, or finance personnel to resolve issues as needed
Maintains database of major payer payment provisions and regulations
Optimizes Enterprise automated systems, researching and analyzing revenue and/or expense opportunities and implementing changes to realize improvements
Assists Pharmacy Analyst with monitoring purchases for contract compliance and accurate pricing
Assists Pharmacy Analyst with monthly budget reviews
Assists Pharmacy Analyst with pulling data needed to compile profile comparisons and generate reports related to current expenses to serve as the basis for the asking budget
Provides scheduled and ad hoc reports as needed to all levels of staff, management, and external agencies
Generates pharmacy spend advisor reports on a monthly basis to ensure that we are purchasing pharmaceuticals in the most cost efficient manner. Communicates those opportunities to Pharmacy Manager & Buyers. Follow up to assist with implementation of changes
Reviews expenditure activity by account by cost centers as expenditures are processed and according to accepted accounting practices and escalates to Pharmacy Analyst for further review if discrepancy found
Identifies irregular spending and system failures related to current expense activity and reports to department Director
Interacts with various hospital departments responsively and productively to promote efficient systems interface and problem resolution related to technological, fiscal, and clinical management as deemed necessary by management
Interacts regularly with the department management team and clinical specialists to supply drug usage information, identify irregularities in spending, and provide recommendations for alternative products
Supports Pharmacy, Nutrition and Therapeutics Committee functions by providing financial data to be used in the drug evaluation process, including opportunities for therapeutic interchange of medications
Works with department management in the development and implementation of departmental goals and objectives
Participates in the planning and implementing change and maintaining the improving productivity through attendance and participation in staff meetings, committees, task forces and projects
Participates in the education of other health-care professionals as it pertains to appropriate use and billing of medications
Demonstrates ability to work with staff to resolve problems and obtain necessary documentation for to obtain authorizations and/or assistance approval
Assists Denials Management & Revenue Integrity teams with medication denials and underpayments including appeals based on medical necessity as needed
Monitors medication charges over the maximum daily allowed units and work with Enterprise Medication Utilization Director to resolve trends in discrepancies
Maintains positive working relationships with external vendors such as manufacturers, insurance carriers, government agencies, and insurance provider representatives
Assists with informatics related implementations and maintenance as needed
Reviews monthly automation inventory and provide optimization recommendations to WVUHS pharmacy leadership
Provides reports, data analysis, statistics and required measurement analysis for manufacturers, Insurance agencies, and accreditation bodies as needed
Monitors ordering processes, integrating most current pricing from wholesaler, analyze invoices, shipping, and inventory processes
Qualification
Required
Bachelor degree in Information Technology, Business Management, Hospital Administration, Accounting, or Finance
Associates degree in Information Technology, Business Management, Hospital Administration, Accounting, or Finance and Two (2) years of experience of pharmacy experience one or (1) year of experience with financial reporting
High School Diploma and Nationally Certified Pharmacy Technician within 15 months of hire and four (4) years' experience in a healthcare setting or three (3) years' experience with financial reporting or data analytics
Extensive working knowledge of Microsoft Office applications Excel & Access
Preferred
Direct experience in medical billing, coding, or prior authorizations
Direct experience in enrolling patients in medication or copay assistance programs
Direct Experience in healthcare informatics
Company
WVU Medicine
West Virginia University Health System is a non-profit organization that offers a full range of healthcare services.
10001+ employees
H1B Sponsorship
WVU Medicine 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 (9)
2024 (11)
2023 (9)
2022 (9)
2021 (7)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
Albert L. Wright, Jr.
President and CEO
Zach Kerns
VP of Finance / CFO East Region
Recent News
Seattle TechFlash
2025-12-21
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2025-11-20
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